Active NPI
Jessica Hamner Blackburn
- Student in an Organized Health Care Education/Training Program
- Auburn, AL
National Provider Identifier
1194110742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- S10756
- Practice address
- 447 W Longleaf Dr Apt 1105
Auburn, AL 36832-6679 - Phone
- (706) 616-7889
- NPI assigned
- Mar 31, 2015
- Last updated
- Mar 31, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | S10756 | AL | Primary |
Addresses
Primary practice location
447 W Longleaf Dr Apt 1105
Auburn, AL 36832-6679
Mailing address
447 W Longleaf Dr Apt 1105
Auburn, AL 36832-6679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S10756 | AL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1194110742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 W LONGLEAF DR APT 1105",
"city": "AUBURN",
"state": "AL",
"postal_code": "368326679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 W LONGLEAF DR APT 1105",
"city": "AUBURN",
"state": "AL",
"postal_code": "368326679",
"telephone_number": "706-616-7889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKBURN",
"first_name": "JESSICA",
"middle_name": "HAMNER",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-31",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AL",
"license": "S10756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, AL
- Bio-Medical Applications of Alabama, Inc. (Fresenius Medical Care of Auburn)
- Valerie Birmingham, N.P.
- Timothy Alan Birt, MS, NCC, LPC, LMFT
- Linsey Bishop, CRNP
- BJRL, Inc. (Home Instead Senior Care)
- Erin Vick Blackwell, DPT
- Allison Blackwood, LAT
- Jenna Bloemer
- Alexandra Claire Blubaugh
- Raymond L Bolt, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.