Becky J Blackton, RN, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

229943 Issued in OH

Practice address

280 Looney Rd Ste 101
Piqua, OH 45356-4199

Phone

(937) 440-8687

Fax

(937) 773-8058

NPI assigned

Mar 8, 2006

Last updated

Jul 17, 2013By 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 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

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.

• Upper Valley Professional Corporation

  • Family Medicine Physician
  • Troy, OH
  • NPI 1407872518
  Medicare reassignment NPD

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1922076926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 LOONEY RD STE 101",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453564199",
            "telephone_number": "937-440-8687",
            "fax_number": "937-773-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 LOONEY RD STE 101",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453564199",
            "telephone_number": "937-440-8687",
            "fax_number": "937-773-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKTON",
        "first_name": "BECKY",
        "middle_name": "J",
        "credential": "RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "229943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2207338",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Barhorst, SLP
• Mamie R Barhorst
• Michael Bates, LPN
• Henry Albert Berger, DDS
• Liana Christine Bergman, RN
• Stephanie Blankenship
• Anna Blevins, APRN-A-GNP-C
• Joshua Bogan, CDCA
• Karin Bok, LPN
• Michelle Bonifas

• Pediatric Nurse Practitioner in Piqua, OH
• Providers in Piqua, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.