Debra L Blackett

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

2620 Alveston Dr
Bloomfield Hills, MI 48304-1802

Phone

(248) 688-5752

NPI assigned

Oct 18, 2019

Last updated

Oct 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1275176695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ALVESTON DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041802",
            "telephone_number": "248-688-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 ALVESTON DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041802",
            "telephone_number": "248-688-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKETT",
        "first_name": "DEBRA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bila, PPLC (Total Dental Fitness)
• Suzanne Bilodeau, MA, LLP
• Birmingham Bloomfield Audiology LLC
• Birmingham Bloomfield Center for Assessment, PLLC
• Donna Jane Bishop, LMSW
• Whitley Blake
• Taylor Marie Bland
• Leah Blatnikoff
• Sally Bloch, PHD
• Bloom Therapy, PLLC

• Health Educator in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Health Educator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.