Active NPI
Susan Blackburn
- Occupational Therapist
- Ashland, MO
National Provider Identifier
1427187293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004635
- Practice address
- 303 N Main St
Ashland, MO 65010-8904 - Phone
- (573) 657-2145
- Fax
- (573) 657-5510
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 004635 | MO | Primary |
Addresses
Primary practice location
303 N Main St
Ashland, MO 65010-8904
Mailing address
303 N Main St
Ashland, MO 65010-8904
Phone (573) 657-2145
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Boone County School District | Past | Accepting new patients |
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.
-
- Local Education Agency (LEA)
- Ashland, MO
- NPI 1821127614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427187293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N MAIN ST",
"city": "ASHLAND",
"state": "MO",
"postal_code": "650108904",
"telephone_number": "573-657-2145",
"fax_number": "573-657-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N MAIN ST",
"city": "ASHLAND",
"state": "MO",
"postal_code": "650108904",
"telephone_number": "573-657-2145",
"fax_number": "573-657-5510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKBURN",
"first_name": "SUSAN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "004635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.