Active NPI
Kayla Blackburn
- Social Worker
- Grundy, VA
National Provider Identifier
1700710894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3174 Slate Creek Rd
Grundy, VA 24614-7045 - Phone
- (276) 935-6807
- NPI assigned
- Jun 11, 2026
- Last updated
- Jun 11, 2026
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
3174 Slate Creek Rd
Grundy, VA 24614-7045
Mailing address
3174 Slate Creek Rd
Grundy, VA 24614-7045
Phone (276) 935-6807
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": "1781136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1700710894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3174 SLATE CREEK RD",
"city": "GRUNDY",
"state": "VA",
"postal_code": "246147045",
"telephone_number": "276-935-6807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3174 SLATE CREEK RD",
"city": "GRUNDY",
"state": "VA",
"postal_code": "246147045",
"telephone_number": "276-935-6807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKBURN",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-11",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grundy, VA
- Jessica Baker, PHARMD
- Tim M Bane, ATC
- Be Well Christian Counseling and Life Services LLC
- Bio-Medical Applications of Virginia, Inc. (Bma Southwest Virginia)
- Justin C Blackburn, LPC
- Kiley Bowen, DPT
- Buchanan County Public Schools
- Buchanan General Hospital
- Buchanan General Hospital Inc
- Buchanan General Hospital Inc (Harman Community Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.