Kayla Christine Blackmon, MS

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

99119066A Issued in IN

Practice address

8081 Township Line Rd Ste 203
Indianapolis, IN 46260-2189

Phone

(317) 415-7741

NPI assigned

Jun 21, 2023

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• St Vincent Pediatric Subspecialties

  • Pediatric Critical Care Medicine Physician
  • Evansville, IN
  • NPI 1851950224
  NPD (past)

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1417632829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 TOWNSHIP LINE RD STE 203",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602189",
            "telephone_number": "734-330-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 TOWNSHIP LINE RD STE 203",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602189",
            "telephone_number": "317-415-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMON",
        "first_name": "KAYLA",
        "middle_name": "CHRISTINE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "IN",
            "license": "99119066A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Elizabeth Blackburn
• Travis Blackburn
• Evette Blackman, LCSW
• Mumina Blackman, M.ED.
• Brianna A Blackmon, MSW, M.ED
• Sirrilla Denise Blackmon, LCSW
• Tracey Blackmore, PT
• Lynda Lawrence Blackwelder, LMFT
• Brylee Christina Blackwell
• David Michael Blackwell II, MD

• All providers in Indianapolis, IN
• Genetic Counselor (M.S.) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.