BAYLEE BLACKBURN DO – NPI #1548056138
Student in an Organized Health Care Education/Training Program

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.

BAYLEE BLACKBURN is a health care student located in PEORIA, IL. NPPES has assigned the NPI number 1548056138 to BAYLEE BLACKBURN on April 18, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 390200000X from the Health Care Provider Taxonomy code set, which is classified as Student in an Organized Health Care Education/Training Program.

See the complete NPI profile for BAYLEE BLACKBURN below.

NPI Profile for
BAYLEE BLACKBURN

NPI Number
1548056138
Enumeration Date

(more than a year ago)
Entity Type
Type-1  Individual
Legal Name
BAYLEE BLACKBURN
Credentials
DO
Primary location
221 NE GLEN OAK AVE
PEORIA, IL 61636-0001
Phone: (309) 671-8308 Fax:
Mailing address
4318 WOODWELL ST UNIT C
LAS VEGAS, NV 89147-7131
Phone: (702) 682-6727 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Apr 02, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
390200000X
- Student in an Organized Health Care Education/Training Program (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.