Grace Blacketer

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

060004735 Issued in OH

Practice address

4500 Montgomery Rd
Cincinnati, OH 45212-3118

Phone

(513) 841-6602

NPI assigned

Oct 8, 2026

Last updated

Oct 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1407751720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 IDA AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452124212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123118",
            "telephone_number": "513-841-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKETER",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "060004735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Blackburn, PH.D.
• Heather Blackburn, PT, MPT
• Jennifer Ann Blackburn, MPT
• Lori Anne Blackburn
• Terri J Blackburn, RN
• Cherese Blackley
• Donovan William Blackley
• Holly Poole Blackley, RPH
• Rebecca L Blacklidge, CRNA
• Amber Blackman

• Student in an Organized Health Care Education/Training Program in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Student in an Organized Health Care Education/Training Program in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.