Mackenzie Blackburn · Pediatrics Physician

8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861

Overview

Mackenzie Blackburn is a Pediatrics Physician practicing in Albuquerque, New Mexico. The National Provider Identifier (NPI) is #1235748211, which was assigned on July 27, 2020, and the registration record was last updated on July 15, 2025. The practitioner's main practice location is at 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861; the contact telephone number is 5058283837. The primary taxonomy of Mackenzie Blackburn is Pediatrics Physician (208000000X). Mackenzie Blackburn is licensed to practice in the state of Ohio (#58.035028).

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Provider Information

NPI 1235748211
Entity Type Individual
Provider Name MACKENZIE BLACKBURN
Gender Female
Practice Address 8500 Washington St Ne Ste A1
Albuquerque
NM 87113-1861
Practice Telephone 5058283837
Mailing Address 700 Childrens Dr
Columbus
OH 43205-2664
Mailing Telephone 6147224419
Certification Date 2025-07-15
Enumeration Date 2020-07-27
Last Update Date 2025-07-15
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N390200000XStudent in an Organized Health Care Education/Training Program
Y208000000XPediatrics58.035028OH

Secondary Practice Locations

AddressTelephoneFax
1817 Wellspring Ave SE Ste D, Rio Rancho, NM 8712449565058283837

Taxonomy Information

Primary Taxonomy

Code 208000000X
Taxonomy Pediatrics Physician
Classification Pediatrics
Grouping Allopathic & Osteopathic Physicians
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Other Taxonomy

Code 390200000X
Taxonomy Student in an Organized Health Care Education/Training Program
Classification Student in an Organized Health Care Education/Training Program
Grouping Student, Health Care
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.
Notes: [1/1/2005: new]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Heather Kathryn Pump 200 1st St Sw, Rochester, MN 55905-0001Pediatrics Physician2026-05-05
Yigit Cengiz Erkus 200 Hawkins Dr, Iowa City, IA 52242-1009Pediatrics Physician2026-05-08
Heba A Nayel 1401 A Jefferson Highway, Academic Center, 1st Floor, Jefferson, LA 70121Pediatrics Physician2026-05-07
Omar Jose Rodriguez Moreno 301 University Blvd, Galveston, TX 77555-5302Pediatrics Physician2026-05-05
Waterford Pediatrics 567 Vauxhall Street Ext Ste 105, Waterford, CT 06385-4331Pediatrics Physician2026-05-05
Resonate Pediatrics PC 447 Sutter St Ste 506-1416, San Francisco, CA 94108-4601Pediatrics Physician2026-05-04
Maureen Schwartz 153 Harborview N, Lawrence, NY 11559-1903Pediatrics Physician2026-05-04
Bend Pediatrics LLC 2230 Nw Labiche Ln, Bend, OR 97703-6720Pediatrics Physician2026-05-05
Alexa Manrriquez Md PC 707 N Avenue 64, Los Angeles, CA 90042-2138Pediatrics Physician2026-05-04
Children's Pediatricians & Associates, LLC 4601 N Park Ave Apt 8c, Chevy Chase, MD 20815-4574Pediatrics Physician2026-05-06
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Location Information

Street Address 8500 WASHINGTON ST NE STE A1
City ALBUQUERQUE
State NM
Zip Code 87113-1861
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Gabryela Reyes 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861Behavior Technician2025-07-28
Maya Miller 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861Behavior Technician2025-02-10
Nikki Tumminaro 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861Behavior Technician2025-04-16
Deon Moore 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861Behavior Technician2026-04-28
Angelique Ochoa 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861Behavior Technician2025-03-03
Leandra Galindo 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861Behavior Technician2025-04-28
Koby Ford 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861Behavior Technician2025-06-24
Shayzi Huffman 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861Behavior Technician2025-02-10
Riannah Kellogg 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861Behavior Technician2024-12-16
Kellan Mahoney 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861Behavior Technician2025-01-20
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Southwestern Provider Services LLC 6400 Paseo Del Norte, Albuquerque, NM 87113Emergency Registered Nurse2019-03-18
Sandia Dermatology LLC 8210 Lousiana Blvd Ne, Albuquerque, NM 87113Dermatology Physician2022-03-14
Medify Drop LLC 8206 Louisiana Blvd Ne, Ste A #6748, Albuquerque, NM 87113Durable Medical Equipment & Medical Supplies2025-09-08
Ethan Grant 8500 Washington St Ste A1, Albuquerque, NM 87113Behavior Technician2017-09-21
Sharon Piedad Tafoya 8500 Washington St Ne, Ste A1, Albuquerque, NM 87113Behavioral Analyst2021-03-11
Eagle Pointe Dentists and Orthodontics, LLC 6230 Paseo Del Norte Ne, Suite B, Albuquerque, NM 87113Dentist2013-01-22
Anne K. Hempstead D.D.S., P.C. 6400 Holly Ave Ne Ste M, Albuquerque, NM 87113Pediatric Dentist2018-03-20
Danielle Juliet Fichera 315 Alameda Park Dr, Ne, Albuquerque, NM 87113Clinical Social Worker2013-08-26
Tsai-Marie Ford Presnow Urgent and Emergency Care, 6400 Paseo Del Norte, Albuquerque, NM 87113Student in an Organized Health Care Education/Training Program2020-01-16
Keith Levitt 8100 Wyoming Blvd Ne #712, Suite M4, Albuquerque, NM 87113Anesthesiology Physician2013-01-18
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.