MS. REBECCA ANN BLACKBURN RD
NPI 1750445219
Dietitian, Registered in Kokomo, IN

Q: What is Rebecca Blackburn's NPI number?

The NPI number for Rebecca Blackburn is 1750445219. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Q: What is Rebecca Blackburn's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Blackburn was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 December 20, 2006

3500 S LAFOUNTAIN ST, KOKOMO, IN 46902(765) 453-8352(765) 453-8457 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Ms. Rebecca Ann Blackburn Rd NPPES

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

MS. REBECCA ANN BLACKBURN RD (NPI 1750445219) is an individual dietitian, registered in Kokomo, Indiana, licensed in Indiana (37001345A) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1750445219

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMS. REBECCA ANN BLACKBURNCredential: RD

Location Address3500 S LAFOUNTAIN STKokomo, IN 46902-3803

Mailing Address3500 S Lafountain St, P.o. Box 9011Kokomo, IN 46902-3803 · (765) 453-8352 · Fax (765) 453-8457

Phone(765) 453-8352

Fax(765) 453-8457

Sole ProprietorYes

Enumeration DateDecember 20, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1750445219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in IN · 37001345A

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

3500 S LAFOUNTAIN ST, Kokomo, IN 46902

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Other Identifiers 1

Medicare NSC231650IN

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.

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