Heather McCoy Blackiston, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

02079 Issued in MD

Practice address

2316 Pulaski Hwy Ste B
North East, MD 21901-3730

Phone

(410) 642-9110

Fax

(410) 642-9113

NPI assigned

May 8, 2006

Last updated

Aug 3, 2021By 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

Other identifiers 2

Other names 1

• Heather E McCoy Former name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North East Chiropractic PA

  dba Blackiston Chiropractic

  • Chiropractor
  • North East, MD
  • NPI 1740405604
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1619926623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 PULASKI HWY STE B",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219013730",
            "telephone_number": "410-642-9110",
            "fax_number": "410-642-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 PULASKI HWY STE B",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219013730",
            "telephone_number": "410-642-9110",
            "fax_number": "410-642-9113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2057 Pulaski Hwy Ste 4",
            "address_purpose": "LOCATION",
            "city": "North East",
            "state": "MD",
            "postal_code": "219013744",
            "country_code": "US",
            "telephone_number": "410-642-9110",
            "fax_number": "410-642-9113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKISTON",
        "first_name": "HEATHER",
        "middle_name": "MCCOY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "02079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC",
            "identifier": "61670301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS",
            "identifier": "2912304",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MCCOY",
            "middle_name": "E",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marlene King Backert, LCPC
• Kathryn Elizabeth Bageant
• Abigail Joy Baldwin, PT
• Shannon Lynn Baublitz-Smith, LCSW-C
• Best Medical LLC
• Jane Atkinson Bower
• Danielle Bryant, ATC, LAT
• Jeremy Paul Bunty
• Maurquia Byrd
• Shydia Gail Cannady

• Chiropractor in North East, MD
• Providers in North East, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.