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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

KYNDALL AMPY BLACKBURN
NPI 1417875436
Peer Specialist in Fairbanks, AK

Active since July 07, 2026
909 CUSHMAN ST STE 103, FAIRBANKS, AK 99701(907) 456-4610 Get Directions Write a Review

NPPES record added: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyndall Ampy Blackburn NPPES

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

KYNDALL AMPY BLACKBURN (NPI 1417875436) is an individual peer specialist in Fairbanks, Alaska and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1417875436
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKYNDALL AMPY BLACKBURN
Location Address909 CUSHMAN ST STE 103Fairbanks, AK 99701-4668
Mailing AddressPo Box 73189Fairbanks, AK 99707-3189
Phone(907) 456-4610
Sole ProprietorNo
Enumeration DateJuly 7, 2026
NPPES CertifiedJuly 7, 2026
✔ NPI 1417875436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
909 CUSHMAN ST STE 103, Fairbanks, AK 99701
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Other Providers at the Same Location NPPES 4

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

DERRICK BLACKBURN
Day Training/Habilitation Specialist
909 CUSHMAN ST STE 103
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4620
DERIKA LIFE
Case Manager/Care Coordinator
909 CUSHMAN ST STE 103
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4620
MRS. KAREN R BLACKBURN
Day Training, Developmentally Disabled Services
909 CUSHMAN ST STE 103
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4620
TAMERA PARKER
Day Training/Habilitation Specialist
909 CUSHMAN ST STE 103
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 456-4620

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 Kyndall Ampy Blackburn's NPI number?

The NPI number for Kyndall Ampy Blackburn is 1417875436. It was assigned to this individual provider in the NPPES registry on July 7, 2026.

Where is Kyndall Ampy Blackburn located?

Kyndall Ampy Blackburn practices at 909 Cushman St Ste 103, Fairbanks, AK 99701. The listed phone number is (907) 456-4610.

What is Kyndall Ampy Blackburn's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kyndall Ampy Blackburn was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.