Shayla Marie Blackburn, LPN is a
Licensed Practical Nurse based in Iowa City, Iowa. Shayla Marie Blackburn is licensed to practice in Illinois (license number 043067363) and her current practice location is
601 Highway 6 W, Iowa City, Iowa. She can be reached at her office (for appointments etc.) via phone at
(319) 338-0581.
NPI number for Shayla Marie Blackburn is 1598016107 and her current mailing address is 2708 N County Road 1500, Niota, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598016107.
Provider's Profile
Full Name | Shayla Marie Blackburn |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 601 Highway 6 W, Iowa City, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598016107
- Provider Enumeration Date: 09/21/2012
- Last Update Date: 09/21/2012
Medical Identifiers
Medical identifiers for Shayla Marie Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598016107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043067363 (Illinois) | Primary |
164W00000X | Licensed Practical Nurse | P28748 (Iowa) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shayla Marie Blackburn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shayla Marie Blackburn, LPN 2708 N County Road 1500, Niota, IL 62358-2112 Ph: (217) 755-4387 | Shayla Marie Blackburn, LPN 601 Highway 6 W, Iowa City, IA 52246-2209 Ph: (319) 338-0581 |
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