Brenda Blackman
Individual provider Active NPI Community Health Worker · Topeka, KS
NPI 1801192539 · NPPES record last updated Jan 27, 2011
Key facts
- NPI
- 1801192539
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 325 SW Frazier Ave
Topeka, KS 66606-1963 - Phone
- (785) 232-5005
- NPI assigned
- Jan 27, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
325 SW Frazier Ave
Topeka, KS 66606-1963
Mailing address
1220 NW Mandell Rd
Topeka, KS 66618-1132
Other providers in Topeka, KS
- Michael David Black
- Michelle Christine Black
- Sharri Lynn Black
- William Jeffry Black
- Logan P Blackburn
- Elena Josephina Blackwell
- Heather Blackwood
- Jordan T Blades
- Kaleigh Blades
- Carolina Blair-Gomez
All providers in Topeka, KS · Community Health Worker in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.