DEBRA BLACKWELL (NPI# 1992353817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992353817 |
Entity Type | Individual |
Full Name | DEBRA BLACKWELL |
Practice Address |
8198 Montage Ave Apt 104 Avon IN 46123 |
Practice Telephone | 7082028387 |
Enumeration Date | 2019-09-04 |
Last Update Date | 2019-09-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538419619 | Debra Blackwell | Pharmacist | 205 North Van Lingle Mungo Blvd, Pageland, SC 29728 | 2012-09-14 |
Street Address |
8198 MONTAGE AVE APT 104 |
City | AVON |
State | IN |
Zip Code | 46123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
1356725246 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 10940 Rockville Rd, Us Highway 36, Avon, IN 46123 | 2015-07-10 |
Find all providers in zip 46123 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649393166 | Tisha Smith | Technician | 541 Shortleaf Dr, Avon, IN 46123-8178 | 2007-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124633029 | Kaneisha Burrus | Technician | 10853 Mistflower Way, Indianapolis, IN 46235-3563 | 2020-09-09 |
1679182976 | Barbara S Link | Technician | 5154 St Rd.60 1, Pekin, IN 47165 | 2020-07-23 |
1871117531 | Kierra Shanae Sherron | Technician | 11569 Short Iron Ln, Indianapolis, IN 46235-9101 | 2020-05-28 |
1659916260 | Virginia Kay St. John | Technician | 961 Deer Field Court, Greencastle, IN 46135 | 2019-11-07 |
1861033755 | Lisa G Sturm | Technician | 7420 Lauren Dr, Evansville, IN 47725-7377 | 2019-10-02 |
1184275422 | Lorrajean A Gleva | Technician | 203 Eastgate Circle, Mishawaka, IN 46544 | 2019-09-27 |
1538710538 | Janet A Slaughter | Technician | 4022 Tanglewood Drive, Floyds Knobs, IN 47119 | 2019-09-23 |
1437709516 | Andrea Wiseman | Technician | 3616 N County Road 850 E, Otwell, IN 47564-8990 | 2019-09-19 |
1093365355 | Susan Hathaway | Technician | 3783 West 800 South, Portland, IN 47371 | 2019-09-18 |
1447800347 | Jennifer Owens | Technician | 1429 Durham Ct, Winona Lake, IN 46590 | 2019-09-13 |
Find all providers with the same taxonomy |
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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.