Provider Type Icon

CONNIE SUE BLACKWELL RN CNP NPI 1437195823


NPI Information

NPI: 1437195823
Provider Name: CONNIE SUE BLACKWELL, RN CNP
Classification: Nurse Practitioner - 363L00000X
Entity Type: Individual
Address:
10081 DOGWOOD ST NW
SUITE 100
COON RAPIDS, MN
ZIP 55448
Phone: (763) 783-3722
Get Directions

Connie Sue Blackwell, RN CNP is a nurse practitioner in Coon Rapids, MN. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Connie Sue Blackwell, RN CNP NPI is 1437195823. 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:

10081 DOGWOOD ST NW
SUITE 100
COON RAPIDS, MN
ZIP 55448-281
Phone: (763) 783-3722
Fax: (763) 783-7944

The enumeration date for this NPI number is 6/22/2006 and was last updated on 10/13/2011.


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
1363L00000XNurse PractitionerA0813103MINNESOTAYes

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
131257BLOTHERMINNESOTABLUE CROSS BLUE SHIELD
22911984200MEDICAIDMINNESOTA
31203352OTHERMINNESOTAMEDICA
4Q01068MEDICARE UPIN
5500003073MEDICARE ID-TYPE UNSPECIFIED

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: 5/5/2024

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.