KATIE BLACKBURN (NPI# 1982154670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982154670 |
| Entity Type | Individual |
| Full Name | KATIE BLACKBURN |
| Practice Address |
620 Gallatin Pike S Madison TN 37115-4013 |
| Practice Telephone | 6154604300 |
| Mailing Telephone | 6154604300 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| Street Address |
620 GALLATIN PIKE S |
| City | MADISON |
| State | TN |
| Zip Code | 37115-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316926553 | Sue St Clair | Nurse Practitioner | 620 Gallatin Pike S, Suite 214, Madison, TN 37115-4013 | 2006-01-16 |
| 1356960124 | Victoria Ann Fung-a-fat | Pharmacist | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2020-04-13 |
| 1962035915 | Olga Olivia Stanfill | Case Manager/Care Coordinator | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2020-02-18 |
| 1669010286 | Jennifer Janel Gardner | Licensed Practical Nurse | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-12-13 |
| 1619511417 | Andrea Santa Maria | Counselor | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-11-05 |
| 1871135921 | Jordann Moore | Case Manager/Care Coordinator | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-10-10 |
| 1386293546 | Stacy Hansen | Technician | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-09-10 |
| 1528617255 | Melba Buchanan | Counselor | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-09-05 |
| 1225686850 | Amy Jo Doiel | Case Manager/Care Coordinator | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-08-27 |
| 1023676624 | Ann Larose | Specialist | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-05-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
| 1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
| 1659866481 | Amanda Elliott | Pharmacist | 109 Gallatin Rd, Madison, TN 37115 | 2018-06-25 |
| 1760938492 | Larry Cox | Case Manager/Care Coordinator | 620 S. Gallatin Pike, Madison, TN 37115 | 2016-09-01 |
| 1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
| 1992190193 | Emily Tibbs | Case Manager/Care Coordinator | 620 Gallatin Pike, Madison, TN 37115 | 2015-04-03 |
| 1164829982 | Laura Boswell | Case Manager/Care Coordinator | 620 Gallatin Pike South, Madison, TN 37115 | 2014-11-21 |
| 1720498058 | Edward Andrew Roberts | Chiropractor | 1710 Gallatin Pike N, Madison, TN 37115 | 2014-05-08 |
| 1700296217 | Lamonia Merritt | Student in an Organized Health Care Education/Training Program | 645 Cheyenne Blvd, Madison, TN 37115 | 2014-05-06 |
| 1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
| Find all providers in zip 37115 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771551 | Kavia Kabe | Community Health Worker | 1935 Lombardia Ln, Madison, TN 37115-3821 | 2019-10-09 |
| 1932582756 | Josephine B Scott | Community Health Worker | 715 S Summerfield Dr, Madison, TN 37115-2542 | 2015-06-30 |
| 1245520071 | Kimberly Ann Ferguson | Community Health Worker | 1103 S Graycroft Ave, Madison, TN 37115-4427 | 2011-04-13 |
| 1801451968 | Rachel Niesen | Community Health Worker | 2000 Fordem Ave, Madison, WI 53704-4600 | 2019-05-04 |
| 1174096127 | Tracy Marie Hunter | Community Health Worker | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-01-02 |
| 1790271708 | Jalyn A Robinson | Community Health Worker | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2018-07-03 |
| 1295233567 | Hayley Grace Walker | Community Health Worker | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2018-01-31 |
| 1427404045 | Lequida Meicher | Community Health Worker | 5109 World Dairy Dr, Madison, WI 53718-3807 | 2016-05-12 |
| 1225416209 | Emma Fashing | Community Health Worker | 2810 Crossroads Dr, Madison, WI 53718-7942 | 2015-05-11 |
| 1104121821 | Brian Matthew Hendley | Community Health Worker | 401 Baptist Dr, Suite 306, Madison, MS 39110-2009 | 2011-01-12 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.