Provider Type Icon

JO SUSAN OFFUTT-BLACKABY MSN PMHNP NPI 1689063760


NPI Information

NPI: 1689063760
Provider Name: JO SUSAN OFFUTT-BLACKABY, MSN, PMHNP
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: EVELYN M FRYE CLINICAL ASSOCIATES, PC

PECOS Registration: Yes

Address:
1101 6TH AVE N
NASHVILLE, TN
ZIP 37208
Phone: (615) 970-9467
Get Directions

Jo Susan Offutt-blackaby, MSN, PMHNP is a psychiatric/mental health clinical nurse specialist in Nashville, TN with 10 years of experience. Jo Susan Offutt-blackaby, MSN, PMHNP NPI is 1689063760. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

1101 6TH AVE N
NASHVILLE, TN
ZIP 37208-650
Phone: (615) 970-9467

The NPI 1689063760 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)

The enumeration date for this NPI number is 1/13/2015 and was last updated on 1/13/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1364SP0808XClinical Nurse SpecialistPsychiatric/Mental Health19574TENNESSEEYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.