Naomi Kay Blackburn, R.N., C.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.10506-NP Issued in OH

Practice address

23030 State Route 73
West Portsmouth, OH 45663-8861

Phone

(740) 858-1063

Fax

(740) 858-9140

NPI assigned

Jan 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Action Committee of Pike CountyGroup PAC ID 3173432762, shared by 9 NPIs, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: naomi.blackburn@vvhcw.eclinicaldirectplus.com

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.

• Community Action Committee of Pike County

  • Primary Care Clinic/Center
  • Portsmouth, OH
  • NPI 1578974929
  Medicare reassignment NPD
• Community Action Committee of Pike County

  • Primary Care Clinic/Center
  • Waverly, OH
  • NPI 1760659171
  Medicare reassignment NPD
• Community Action Committee of Pike County

  • Primary Care Clinic/Center
  • Jackson, OH
  • NPI 1114194347
  NPD
• Community Action Committee of Pike County

  • Primary Care Clinic/Center
  • Waverly, OH
  • NPI 1417520966
  NPD
• Community Action Committee of Pike County

  • Primary Care Clinic/Center
  • Piketon, OH
  • NPI 1811164254
  NPD
• Community Action Committee of Pike County

  • Federally Qualified Health Center (FQHC)
  • West Portsmouth, OH
  • NPI 1003908930
  NPD (past)
• Community Action Committee of Pike County

  • Federally Qualified Health Center (FQHC)
  • Waverly, OH
  • NPI 1821661372
  NPD (past)
• Community Action Committee of Pike County

  • Federally Qualified Health Center (FQHC)
  • Waverly, OH
  • NPI 1891887790
  NPD (past)

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1144467002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23030 STATE ROUTE 73",
            "city": "WEST PORTSMOUTH",
            "state": "OH",
            "postal_code": "456638861",
            "telephone_number": "740-858-1063",
            "fax_number": "740-858-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23030 STATE ROUTE 73",
            "city": "WEST PORTSMOUTH",
            "state": "OH",
            "postal_code": "456638861",
            "telephone_number": "740-858-1063",
            "fax_number": "740-858-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "NAOMI",
        "middle_name": "KAY",
        "credential": "R.N., C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN241001",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.10506-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100086520",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI #",
            "identifier": "1003908930",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2954272",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "RN241001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Armstrong
• Amanda Sue Barber, LPN
• Charles Bartley, CDCA
• Michael Leslie Bell
• Beth Evans
• Nola Blair
• Blessed at Home Health Care
• Blessed at Home LLC
• Kathy J Bloomer
• Cashena Bradford

• Family Nurse Practitioner in West Portsmouth, OH
• Providers in West Portsmouth, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.