Cheryl Blackburn

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61094775 Issued in WA

Practice address

113 S Parkway Ave
Battle Ground, WA 98604-9294

Phone

(360) 687-1781

NPI assigned

Jul 15, 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

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.

• Balance & Bloom Bodywork LLC

  • Massage Therapist
  • Battle Ground, WA
  • NPI 1548191224
  NPD (past)
• Purple Pear Body Therapy

  • Specialist
  • Battle Ground, WA
  • NPI 1235561903
  NPD (past)

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1689246837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S PARKWAY AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986049294",
            "telephone_number": "360-687-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S PARKWAY AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986049294",
            "telephone_number": "360-687-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "CHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61094775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@purplepearbody.com",
            "affiliation": "N",
            "endpointDescription": "Practice location",
            "address_1": "113 S Parkway Ave",
            "city": "Battle Ground",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986049294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vitaliy Bejan
• Bellies, Babies & Breasts, P.C.
• Lori Aleta Bender Collinson, OTR/L
• Karen J. Benton, ND
• Dana E Black, P.T.
• Ashley Jane Blanchfield, D.D.S.
• Rochelle J Blanton, NP
• Blueberry Hills Adult Family Home (Grace Land Adult Family Home)
• Bodywork Massage
• Muksarin Bohling, PA

• Massage Therapist in Battle Ground, WA
• Providers in Battle Ground, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.