| Naomi Kay Blackburn, RN, CNP | |
|
23030 State Route 73, West Portsmouth, OH 45663-8861 | |
| (740) 858-1063 | |
| (740) 858-9140 |
| Full Name | Naomi Kay Blackburn |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 23030 State Route 73, West Portsmouth, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144467002 | NPI | - | NPPES |
| 7100086520 | Medicaid | KY | |
| 1003908930 | Other | FACILITY NPI # | |
| 2954272 | Medicaid | OH | |
| RN241001 | Other | OH | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN241001 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | COA.10506-NP (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Penn Highland Dubois | Dubois, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Action Committee Of Pike County | 3173432762 | 12 |
| Entity Name | Community Action Committee Of Pike County |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1760659171 PECOS PAC ID: 3173432762 Enrollment ID: O20040322000819 |
| Entity Name | Community Action Committee Of Pike County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578974929 PECOS PAC ID: 3173432762 Enrollment ID: O20141022000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Naomi Kay Blackburn, RN, CNP 23030 State Route 73, West Portsmouth, OH 45663-8861 Ph: (740) 858-1063 | Naomi Kay Blackburn, RN, CNP 23030 State Route 73, West Portsmouth, OH 45663-8861 Ph: (740) 858-1063 |
Brandy Branham, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15888a Us Highway 52, West Portsmouth, OH 45663 Phone: 740-858-1732 Fax: 740-858-1735 | |
Jamie Eichenlaub, MSN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23030 State Route 73, West Portsmouth, OH 45663 Phone: 740-858-1063 | |
Angela Jo Occidental, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22442 State Route 73, West Portsmouth, OH 45663 Phone: 740-858-6656 | |
Mrs. Madison Brooke Walker, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22664 State Route 73, West Portsmouth, OH 45663 Phone: 740-858-6656 |