TAYLOR LOREN BLACKBURN MD
NPI 1174085377
Pediatrics in Eglin Afb, FL

Q: What is Taylor Blackburn's NPI number?

The NPI number for Taylor Blackburn is 1174085377. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Q: What is Taylor Blackburn's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Taylor Blackburn was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 05, 2019

307 BOATNER RD STE 114, EGLIN AFB, FL 32542(850) 883-8600 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2022, Apr 5, 2019 (2 updates tracked since 2019).

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About Taylor Loren Blackburn Md NPPES

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

TAYLOR LOREN BLACKBURN MD (NPI 1174085377) is an individual pediatrics provider in Eglin Afb, Florida, licensed in Virginia (0101271372) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1174085377

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameTAYLOR LOREN BLACKBURNCredential: MD

Location Address307 BOATNER RD STE 114Eglin Afb, FL 32542-1302

Mailing Address307 Boatner Rd Ste 114Eglin Afb, FL 32542-1302 · (850) 883-8600

Phone(850) 883-8600

Sole ProprietorNo

Enumeration DateApril 5, 2019

Last NPPES UpdateJuly 15, 20222 updates tracked since enumeration

NPPES CertifiedJuly 15, 2022

✔ NPI 1174085377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in VA · 0101271372

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

307 BOATNER RD STE 114, Eglin Afb, FL 32542

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCAS RYAN PETKEWITZ DPT

Physical Therapist

307 BOATNER RD STE 114
EGLIN AFB, FL 32542

Okaloosa County (850) 883-8600

DR. JAMES SAXTON

Anesthesiology

307 BOATNER RD STE 114
EGLIN AFB, FL 32542

Okaloosa County (850) 883-9394

BODEN JAMES PORT DO

General Practice

307 BOATNER RD STE 114
EGLIN AFB, FL 32542

Okaloosa County (850) 883-8600

HEATHER DAWN BROCK

Nurse Practitioner (Family)

307 BOATNER RD STE 114
EGLIN, FL 32542

Okaloosa County (850) 883-9042

DR. ANDREW KEITH MATTHIES D.O.

Anesthesiology

307 BOATNER RD STE 114
EGLIN AFB, FL 32542

Okaloosa County (850) 883-9394

ANJELI KRISTEN NAYAR POPE M.D.

Internal Medicine

307 BOATNER RD STE 114
EGLIN AFB, FL 32542

Okaloosa County (850) 883-9906

DR. ERIC MICHAEL WEISS MD

General Practice

307 BOATNER RD STE 114
EGLIN AFB, FL 32542

Okaloosa County (850) 883-8600

CAMRON BOWMAN DO

Military Health Care Provider

307 BOATNER RD STE 114
EGLIN AFB, FL 32542

Okaloosa County (850) 883-8288

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 Taylor Blackburn's NPI number?

The NPI number for Taylor Blackburn is 1174085377. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Taylor Blackburn located?

Taylor Blackburn practices at 307 Boatner Rd Ste 114, Eglin Afb, FL 32542. The listed phone number is (850) 883-8600.

What is Taylor Blackburn's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Taylor Blackburn was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.