Katie Blackburn
Individual provider Active NPI Community Health Worker · Madison, TN
NPI 1982154670 · NPPES record last updated Oct 6, 2016
Key facts
- NPI
- 1982154670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 620 Gallatin Pike S
Madison, TN 37115-4013 - Phone
- (615) 460-4300
- NPI assigned
- Oct 6, 2016
- 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
620 Gallatin Pike S
Madison, TN 37115-4013
Mailing address
620 Gallatin Pike S
Madison, TN 37115-4013
Phone (615) 460-4300
Other providers in Madison, TN
- Luke Alexander Biggs
- Shelby Biggs
- Megan Bird
- Lauren Birmingham
- Healey Lynn Black
- Timothy M Blair
- Amanda Lynn Blassl
- Brooks Taylor Blaxton
- Andrew Steven Blaylock
- Jacob Blood
All providers in Madison, TN · Community Health Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2016. 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.