ASHLIN BLACKMON NPI 1124916390

NPI Information

  • NPI: 1124916390
  • Provider Name: ASHLIN BLACKMON
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2720 SUNSET BLVD
    WEST COLUMBIA, SC
    ZIP 29169
  • Phone: (803) 791-2000

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NPI Details

Ashlin Blackmon is an acute care nurse practitioner in West Columbia, SC. Ashlin Blackmon NPI is 1124916390. 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:

2720 SUNSET BLVD
WEST COLUMBIA, SC
ZIP 29169-810
Phone: (803) 791-2000

The NPI 1124916390 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 6/26/2025 and was last updated on 8/22/2025.

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
1363LA2100XNurse PractitionerAcute Care30862SOUTH CAROLINAYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

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: 11/21/2025

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