Active NPI
Le'Nia Noel Blackburn
- Adult Companion
- Grass Valley, CA
National Provider Identifier
1437790342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 500 Crown Point Cir Ste 120
Grass Valley, CA 95945-9561 - Phone
- (530) 265-5811
- NPI assigned
- Oct 2, 2019
- Reactivated
- Feb 13, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | ||
| Case Manager/Care Coordinator | 171M00000X | CA | ||
| Community Health Worker | 172V00000X | |||
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
500 Crown Point Cir Ste 120
Grass Valley, CA 95945-9561
Mailing address
760 S Auburn St Ste C
Grass Valley, CA 95945-4318
Phone (916) 787-8860
Other practice location 1
1811 Grand Canal Blvd
Stockton, CA 95207-8107
Phone (877) 418-2978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171R | Medicaid | CA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745107200000",
"number": "1437790342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 S AUBURN ST STE C",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959454318",
"telephone_number": "916-787-8860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CROWN POINT CIR STE 120",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959459561",
"telephone_number": "530-265-5811"
}
],
"practiceLocations": [
{
"address_1": "1811 Grand Canal Blvd",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952078107",
"country_code": "US",
"telephone_number": "877-418-2978",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLACKBURN",
"first_name": "LE'NIA",
"middle_name": "NOEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-02",
"last_updated": "2025-04-20",
"certification_date": "2025-04-20",
"deactivation_date": "2023-10-27",
"reactivation_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171R",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.