Individual provider Active NPI

Tara Blackburn, LPN

  • Licensed Practical Nurse
  • New Castle, PA
National Provider Identifier
1245090299
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN282665 Issued in PA
Practice address
2305 Wilmington Rd Ste 3
New Castle, PA 16105-1959
Phone
(724) 965-8355
Fax
(877) 456-7299
NPI assigned
Mar 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN282665 PA Primary

Addresses

Primary practice location

2305 Wilmington Rd Ste 3
New Castle, PA 16105-1959

Mailing address

311 Vernon Rd
Greenville, PA 16125-8640
Phone (724) 988-9199

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

LicenseStateTypeSpecialty
PN282665PAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Home Health Care, Inc. CurrentSince Mar 24, 2024 Accepting new patients

Locations

2305 Wilmington Rd
Ste 3
New Castle, PA 16105
Phone (724) 965-8355

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1245090299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 VERNON RD",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161258640",
            "telephone_number": "724-988-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 WILMINGTON RD STE 3",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051959",
            "telephone_number": "724-965-8355",
            "fax_number": "877-456-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "TARA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN282665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.