TYRA L. BLACKMON – NPI #1508440157
Technician, Other

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.

TYRA BLACKMON is a technician located in DETROIT, MI. NPPES has assigned the NPI number 1508440157 to TYRA BLACKMON on May 10, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 247200000X from the Health Care Provider Taxonomy code set, which is classified as Technician, Other.

The NPI profile was previously updated about 5 years ago on May 13, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TYRA BLACKMON below.

NPI Profile for
TYRA L. BLACKMON

NPI Number
1508440157
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TYRA L. BLACKMON
Primary location
400 RENAISSANCE CTR STE 2600
DETROIT, MI 48243-1502
Phone: (855) 832-6727 Fax:
Mailing address
9158 RIVER GROVE RD
FLUSHING, MI 48433-8811
Phone: (989) 295-3265 Fax:
Sole Proprietor
No
Updated
Certification Date
May 13, 2021

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
247200000X
- Technician, Other (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.