Ella Rose Blackburn

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

288654 Issued in SC

Practice address

4328 Lake Swamp Rd
Timmonsville, SC 29161-8913

Phone

(843) 610-0057

NPI assigned

Aug 12, 2026

Last updated

Aug 12, 2026By 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

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": "1786492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1760307425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4328 LAKE SWAMP RD",
            "city": "TIMMONSVILLE",
            "state": "SC",
            "postal_code": "291618913",
            "telephone_number": "843-610-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4328 LAKE SWAMP RD",
            "city": "TIMMONSVILLE",
            "state": "SC",
            "postal_code": "291618913",
            "telephone_number": "843-610-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "ELLA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "288654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Elizabeth Anderson, RN
• Richard Munford Andrews
• Bailey Babies LLC
• Neva Monette Bailey, LPC
• Black River Healthcare, Inc.
• Denise Marie Brumfield, M.S., P.T.
• Terrius Dequone Burgess
• Busy Bee Medical Supply
• Melinda Gail Byrd, R.N.
• Aimee Collum Clark, PHARMD

• Registered Nurse in Timmonsville, SC
• Providers in Timmonsville, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.