Sheila Blackmore

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

L8H112200070 Issued in WV

Practice address

350 Capitol St RM 427
Charleston, WV 25301-1757

Phone

(304) 312-6963

NPI assigned

Mar 10, 2025

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

State licenses

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1396544789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57016 MEHLMAN RD",
            "city": "BELLAIRE",
            "state": "OH",
            "postal_code": "439069571",
            "telephone_number": "304-312-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CAPITOL ST RM 427",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011757",
            "telephone_number": "304-312-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMORE",
        "first_name": "SHEILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "WV",
            "license": "L8H112200070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Blackburn
• Samantha Blackburn
• Sydney Blackburn
• Kitty Blackhurst
• Christopher Charles Blackmon
• Debra Blackwell
• Sharri Blagg
• C David Blair, PH.D.
• Deanna Blair, CNM
• Nicole Blair

• Early Intervention Provider Agency in Charleston, WV
• Providers in Charleston, WV by specialty
• Early Intervention Provider Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.