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KEN BLACKBURN
NPI 1699084608
Rehabilitation Practitioner in Sparks, NV

Active since September 26, 2010
480 GALLETTI WAY, SPARKS, NV 89431(775) 333-0943 Get Directions Write a Review

NPPES record last updated: September 26, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ken Blackburn NPPES

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

KEN BLACKBURN (NPI 1699084608) is an individual rehabilitation practitioner in Sparks, Nevada and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1699084608
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameKEN BLACKBURN
Location Address480 GALLETTI WAYSparks, NV 89431-5564
Mailing Address7491 Ambush CtSparks, NV 89436-7459
Phone(775) 333-0943
Sole ProprietorYes
Enumeration DateSeptember 26, 2010
✔ NPI 1699084608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
480 GALLETTI WAY, Sparks, NV 89431
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Other Identifiers 1

Medicaid0NV

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.

ROBERT T BUCK RN
Registered Nurse
480 GALLETTI WAY
SPARKS, NV 89431
Washoe County (775) 688-2001
STATE OF NEVADA
Internal Medicine
480 GALLETTI WAY
SPARKS, NV 89431
Washoe County (775) 688-2001
LINDEN STREET MENTAL HEALTH CENTER PHARMACY
Pharmacy (Clinic Pharmacy)
480 GALLETTI WAY
SPARKS, NV 89431
Washoe County (775) 688-2001
JENNIFER SIMEO
Case Manager/Care Coordinator
480 GALLETTI WAY
SPARKS, NV 89431
Washoe County (775) 688-2001
ORLYN A SCHENK R.N.
Registered Nurse
480 GALLETTI WAY
SPARKS, NV 89431
Washoe County (775) 688-2001
COURTNEY MCKENNA
Counselor (Mental Health)
480 GALLETTI WAY
SPARKS, NV 89431
Washoe County (775) 688-1633
TERESE JAY LCSW
Social Worker (Clinical)
480 GALLETTI WAY
SPARKS, NV 89431
Washoe County (775) 982-8870
JACQUELINE M CARPENTER RN
Registered Nurse (Psychiatric/Mental Health, Adult)
480 GALLETTI WAY
SPARKS, NV 89431
Washoe County (775) 688-0408

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 Ken Blackburn's NPI number?

The NPI number for Ken Blackburn is 1699084608. It was assigned to this individual provider in the NPPES registry on September 26, 2010.

Where is Ken Blackburn located?

Ken Blackburn practices at 480 Galletti Way, Sparks, NV 89431. The listed phone number is (775) 333-0943.

What is Ken Blackburn's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Ken Blackburn was last updated on September 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.