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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Bonnie Lynn Blackburn, PA

Medical Physician Assistant in Buckhannon, WV · enumerated 2020.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386270908

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Registry record

Entity type Individual (Type 1)
Name Mrs. Bonnie Lynn Blackburn
Credential PA
Sex Female
Practice address 10 Amalia Dr Ste C5, Buckhannon, WV, 26201
Fax (304) 460-7908
Enumeration date Mar 15, 2020
Last updated in NPPES Sep 15, 2020

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 2411 (WV) Primary
390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Bonnie Blackburn?
Bonnie Blackburn is registered in NPPES with the primary taxonomy of Medical Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-09-15.