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BROOKLYN DAWN BLACKMON
NPI 1104573419
Technician - Personal Care Attendant in Danville, WV

Active since March 07, 2022
5693 LOW GAP RD, DANVILLE, WV 25053(254) 319-3457 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brooklyn Dawn Blackmon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKLYN DAWN BLACKMON (NPI 1104573419) is an individual personal care attendant in Danville, West Virginia and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1104573419
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameBROOKLYN DAWN BLACKMON
Location Address5693 LOW GAP RDDanville, WV 25053-8053
Mailing Address5693 Low Gap RdDanville, WV 25053-8053 · (254) 319-3457
Phone(254) 319-3457
Sole ProprietorNo
Enumeration DateMarch 7, 2022
Last NPPES UpdateApril 21, 2023
NPPES CertifiedApril 21, 2023
✔ NPI 1104573419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
5693 LOW GAP RD, Danville, WV 25053
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooklyn Blackmon's NPI number?

The NPI number for Brooklyn Blackmon is 1104573419. It was assigned to this individual provider in the NPPES registry on March 7, 2022.

Where is Brooklyn Blackmon located?

Brooklyn Blackmon practices at 5693 Low Gap Rd, Danville, WV 25053. The listed phone number is (254) 319-3457.

What is Brooklyn Blackmon's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Brooklyn Blackmon was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.