CASEY BLACKBURN NPI 1346648987

NPI Information

  • NPI: 1346648987
  • Provider Name: CASEY BLACKBURN
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 2001 THE ALAMEDA
    SAN JOSE, CA
    ZIP 95126
  • Phone: (408) 261-7777

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NPI Details

Casey Blackburn is a specialist in San Jose, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Casey Blackburn NPI is 1346648987. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2001 THE ALAMEDA
SAN JOSE, CA
ZIP 95126-136
Phone: (408) 261-7777
Fax: (408) 259-2273

The enumeration date for this NPI number is 12/14/2014 and was last updated on 12/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist111097739TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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