NPPES file of Aug 9, 2026

Derrick Blackburn

Day Training/Habilitation Specialist · Fairbanks, AK

Derrick Blackburn is a day training/habilitation specialist with a practice address in Fairbanks, Alaska, and NPI 1104663715, issued on Jul 10, 2024. Check the license with the Alaska board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1104663715
Name
Derrick Blackburn
Primary taxonomy
Day Training/Habilitation Specialist 373H00000X
Practice location
909 Cushman St Ste 103, Fairbanks, AK 99701
Phone
(907) 456-4620
Enumerated
Jul 10, 2024
Record last updated
Jul 10, 2024
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 909 Cushman St Ste 103

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kyndall Ampy BlackburnPeer Specialist1417875436
  2. Karen BlackburnBehavior Technician1467740779
  3. Derika LifeCase Manager/Care Coordinator1396582904
  4. Tamera ParkerDay Training/Habilitation Specialist1689411282

Verify Derrick Blackburn in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Alaska board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Alaska license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Day Training/Habilitation Specialist providers in Alaska

There are 1,194 day training/habilitation specialist records in Alaska. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 1,194 in Alaska → Every provider in Fairbanks →

Other day training/habilitation specialist records in Alaska

  1. Brandon AbbottWasilla, AK1861269094
  2. Flint AbolafiaWasilla, AK1750008652
  3. Lydia AcostaWasilla, AK1760099907
  4. Heather AdamsWasilla, AK1750102232
  5. Caylyn AdcockAnchorage, AK1538831003
  6. Myra AdneyWasilla, AK1073176517
  7. Kwadwo AdonuBethel, AK1588300578
  8. Kameah AebischerlikeWasilla, AK1962131300
  9. Ulima AfoaAnchorage, AK1417605965
  10. Amanda AguilarWasilla, AK1710625041

Common questions

What is Derrick Blackburn's NPI number?

Derrick Blackburn's National Provider Identifier (NPI) is 1104663715, issued on Jul 10, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Derrick Blackburn located?

The NPPES record lists a practice address at 909 Cushman St Ste 103, Fairbanks, AK, 99701. Phone: (907) 456-4620. Providers update this record themselves, so call before visiting.

How can I verify Derrick Blackburn's license?

Search the Alaska board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.