Douglas Oliver Blackard, MS, MHA, LAT, CMPE

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

3618 Garrettsville Dr
Pearland, TX 77584-4984

Phone

(281) 412-2769

NPI assigned

Mar 6, 2007

Last updated

Dec 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Greater Houston Psychiatric Associates, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houston, TX
  • NPI 1467667808
  NPD Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576368000000",
    "number": "1184754475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 GARRETTSVILLE DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844984",
            "telephone_number": "281-412-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 GARRETTSVILLE DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844984",
            "telephone_number": "281-412-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKARD",
        "first_name": "DOUGLAS",
        "middle_name": "OLIVER",
        "name_prefix": "Mr.",
        "credential": "MS, MHA, LAT, CMPE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2019-12-15",
        "certification_date": "2019-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATA CERTIFICATION",
            "identifier": "129039099",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kinnari Birla, PSYD
• Cora Bishop
• Diana Bishop
• Aaliyah Bivens
• Randall Carl Black, LCSW
• Debbie Blackmon, MA
• Takeatha Blackmon
• Stephanie Blackwell
• Margaret Blake, PHD, CCC-SLP
• Saquania Blake

• Athletic Trainer in Pearland, TX
• Providers in Pearland, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.