Joanne M Blackerby, NBHWC - HWC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

3139532 Issued in TX

Practice address

6200 Ledge Mountain Dr
Austin, TX 78731-3717

Phone

(512) 657-2544

NPI assigned

Apr 22, 2021

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

Electronic endpoints 1

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": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1548842271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 LEDGE MOUNTAIN DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313717",
            "telephone_number": "512-657-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 LEDGE MOUNTAIN DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313717",
            "telephone_number": "512-657-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKERBY",
        "first_name": "JOANNE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "NBHWC - HWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "TX",
            "license": "3139532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jb@claritycoach.me",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6200 Ledge Mountain Dr",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787313717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abigail Hollis Blackburn, DC
• Christian Blackburn
• George Maury Blackburn, D.M.D., F.A.G.D.
• Jon F Blackburn, OTR, CHT
• Olivia Ann Blacker, SLP-ASSISTANT
• Audrey Blackford, LMT
• Hayley Blackman, PT, DPT
• Lisa Ann Blackman, RN
• Nancy Blackman, CI
• Amy Blackmon, PH.D.

• Health & Wellness Coach in Austin, TX
• Providers in Austin, TX by specialty
• Health & Wellness Coach in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.