CASSIE LYN BLACKWELL FNP NPI 1255562575

NPI Information

NPI: 1255562575
Provider Name: CASSIE LYN BLACKWELL, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: DALLAS COUNTY HOSPITAL DISTRICT

PECOS Registration: Yes

Address:
5000 HARRY HINES BLVD
HOMES GROUP
DALLAS, TX
ZIP 75235
Phone: (214) 590-0153
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Cassie Lyn Blackwell, FNP is a family nurse practitioner in Dallas, TX with 15 years of experience. Cassie Lyn Blackwell, FNP NPI is 1255562575. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5000 HARRY HINES BLVD
HOMES GROUP
DALLAS, TX
ZIP 75235-721
Phone: (214) 590-0153
Fax: (214) 590-0172

The NPI 1255562575 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2009 and was last updated on 10/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	687599	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	203848101	MEDICAID	TEXAS
2	805N81	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
3	8L18072	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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