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KAYLA BLACKBURN MD
NPI 1629870514
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since March 24, 2025PECOS Enrolled
3820 OLENTANGY RIVER RD, COLUMBUS, OH 43214(614) 566-4414 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kayla Blackburn Md NPPES

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

KAYLA BLACKBURN MD (NPI 1629870514) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629870514
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAYLA BLACKBURNCredential: MD
Location Address3820 OLENTANGY RIVER RDColumbus, OH 43214-5403
Mailing Address3820 Olentangy River RdColumbus, OH 43214-5403
Phone(614) 566-4414
Sole ProprietorNo
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1629870514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3820 OLENTANGY RIVER RD, Columbus, OH 43214
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kayla Blackburn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

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

MIRIAM ANN NAPLES LISW
Social Worker (Clinical)
3820 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-4414
DR. CAROLINA ISABEL ORTIZ VILLABONA MD
Psychiatry & Neurology (Psychiatry)
3820 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-4414
ERIC M LAYNE MD
Psychiatry & Neurology (Psychiatry)
3820 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-4414
KELLI M WHITE LISW
Social Worker (Clinical)
3820 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-4414
DR. SHELBY JOSEPH CASH IV MD
Student in an Organized Health Care Education/Training Program
3820 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-4414
DR. SANJAY R GARUDA MD
Internal Medicine (Gastroenterology)
3820 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 457-1213
MRS. CYNTHIA YVONNE WARD LISW-S
Social Worker (Clinical)
3820 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-9090
SUTTON MACDONALD MD
Student in an Organized Health Care Education/Training Program
3820 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-4414

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 Kayla Blackburn's NPI number?

The NPI number for Kayla Blackburn is 1629870514. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Kayla Blackburn located?

Kayla Blackburn practices at 3820 Olentangy River Rd, Columbus, OH 43214. The listed phone number is (614) 566-4414.

What is Kayla Blackburn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kayla Blackburn enrolled in Medicare?

Yes. Kayla Blackburn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kayla Blackburn was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.