What is Jerry Blackburn's NPI number?

Jerry Blackburn's National Provider Identifier (NPI) is 1164372538, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jerry Blackburn's specialty?

Jerry Blackburn is listed in the NPPES registry with a primary specialty of Health & Wellness Coach (Other Service Providers).

Where is Jerry Blackburn located?

Jerry Blackburn's practice location on file with NPPES is 2100 J St, Eureka, CA 95501-3055.

What is Jerry Blackburn's phone number?

The practice phone number listed in the NPPES registry for Jerry Blackburn is (707) 441-2400.

Is Jerry Blackburn's NPI active?

Yes — Jerry Blackburn's NPI (1164372538) is active in the NPPES registry as of the last update on 2026-02-03.

IndividualActive

Jerry Blackburn

NPI 1164372538 · Health & Wellness Coach · Eureka, CA

Jerry Blackburn is a Health & Wellness Coach provider in Eureka, CA (NPI 1164372538).

Provider details

NPI number: 1164372538
Entity type: Individual
Primary specialty: Health & Wellness CoachOther Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Health & Wellness CoachPrimary171400000X
Other Service Providers

Profile Score

Basic profile(47/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2100 J St

Eureka, CA 95501-3055

Phone: (707) 441-2400

Street-level locationGet directions

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Mailing address