Erin Blackburn

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

211328819 Issued in NY

Practice address

111 Westfall Rd
Rochester, NY 14620-4647

Phone

(585) 753-5262

Fax

(585) 324-1395

NPI assigned

Sep 26, 2019

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

State licenses

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.

• County of Monroe

  • Public Health or Welfare Agency
  • Rochester, NY
  • NPI 1447393632
  NPD (past)
• Monroe County Health Department

  • Radiology Clinic/Center
  • Rochester, NY
  • NPI 1629419973
  NPD (past)

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1134770530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WESTFALL RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204647",
            "telephone_number": "585-753-5262",
            "fax_number": "585-324-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WESTFALL RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204647",
            "telephone_number": "585-753-5262",
            "fax_number": "585-324-1395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Westfall Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146204647",
            "country_code": "US",
            "telephone_number": "585-753-5262",
            "fax_number": "585-324-1395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "211328819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Lynn Black, RD, MNT
• Megan Kathleen Black, MHC
• Samuel Dean Black, MD
• Tawanna Levelle Black, LPN
• Casey Jane Blackburn, M.S., CCC-SLP
• Luci A Blackburn
• Mackenzie Rose Blackburn, DC
• Meredith Grace Blackburn, PA
• Paul Blackcloud, M.D.
• Alexandra Michelle Blackman, M.D.

• Case Manager/Care Coordinator in Rochester, NY
• Providers in Rochester, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.