Kerri Blackburn, BS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

38271 Mound Rd BLDG B
Sterling Heights, MI 48310-3401

Phone

(586) 477-2054

NPI assigned

May 18, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Consumer Services, Inc.

  • Clinical Social Worker
  • Mason, MI
  • NPI 1700066339
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1093406183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540289",
            "telephone_number": "517-833-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38271 MOUND RD BLDG B",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103401",
            "telephone_number": "586-477-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "KERRI",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek L Bittner, D.C.
• Ryan N Bittner, DC
• Bafel Bizze
• Abby Marie Black
• Eric J Black, LPC
• Abigail Blackwell
• Jontese S Blackwell
• Carol Blair-Houston, RN; MSW;CAADC-M
• Erica Blake, PA
• Katherine Jane Blankenship

• Case Manager/Care Coordinator in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.