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TYRA LYN BLACKMON
NPI 1508440157
Technician, Other in Detroit, MI

Active since May 10, 2021
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243(855) 832-6727 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyra Lyn Blackmon NPPES

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

TYRA LYN BLACKMON (NPI 1508440157) is an individual technician, other provider in Detroit, Michigan and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1508440157
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameTYRA LYN BLACKMON
Location Address400 RENAISSANCE CTR STE 2600Detroit, MI 48243-1502
Mailing Address9158 River Grove RdFlushing, MI 48433-8811 · (989) 295-3265
Phone(855) 832-6727
Sole ProprietorNo
Enumeration DateMay 10, 2021
Last NPPES UpdateMay 13, 2021
NPPES CertifiedMay 13, 2021
✔ NPI 1508440157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
400 RENAISSANCE CTR STE 2600, Detroit, MI 48243
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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.

CAITLIN N YODER
Nurse Practitioner
400 RENAISSANCE CTR STE 2600
DETROIT, MI 48243
Wayne County (888) 731-8994
MICHELLE M WOJEK NP-C
Nurse Practitioner (Family)
400 RENAISSANCE CTR STE 2600
DETROIT, MI 48243
Wayne County (888) 731-8994
LINDSAY GENE KASPER FNP-C
Nurse Practitioner
400 RENAISSANCE CTR STE 2600
DETROIT, MI 48243
Wayne County (888) 731-8994
ALEXIS CATHERINE DOMZALSKI
Behavior Technician
400 RENAISSANCE CTR STE 2600
DETROIT, MI 48243
Wayne County (855) 832-6727
ALEXIS MICHELE NOWAK
Behavior Technician
400 RENAISSANCE CTR STE 2600
DETROIT, MI 48243
Wayne County (855) 832-6727
KHALA PACE NONE
Behavior Technician
400 RENAISSANCE CTR STE 2600
DETROIT, MI 48243
Wayne County (888) 922-2843
NICKLAUS JON DUIKER
Assistant Behavior Analyst
400 RENAISSANCE CTR STE 2600
DETROIT, MI 48243
Wayne County (855) 832-6727
ABIGAYLE HALL RBT
Behavior Technician
400 RENAISSANCE CTR STE 2600
DETROIT, MI 48243
Wayne County (855) 832-6727

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 Tyra Blackmon's NPI number?

The NPI number for Tyra Blackmon is 1508440157. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Tyra Blackmon located?

Tyra Blackmon practices at 400 Renaissance Ctr Ste 2600, Detroit, MI 48243. The listed phone number is (855) 832-6727.

What is Tyra Blackmon's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Tyra Blackmon was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.