KATRINA MARIE BLACKARD NP NPI 1467051029

NPI Information

  • NPI: 1467051029
  • Provider Name: KATRINA MARIE BLACKARD, NP
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 401 SOUTHCREST CIR STE 212
    SOUTHAVEN, MS
    ZIP 38671
  • Phone: (662) 349-0488

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NPI Details

Katrina Marie Blackard, NP is a primary care nurse practitioner in Southaven, MS with 5 years of experience. Katrina Marie Blackard, NP NPI is 1467051029. 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:

401 SOUTHCREST CIR STE 212
SOUTHAVEN, MS
ZIP 38671-721
Phone: (662) 349-0488
Fax: (662) 349-5974

The NPI 1467051029 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.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Test to measure rate of airflow (HCPCS:94375)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)

The enumeration date for this NPI number is 10/23/2020 and was last updated on 7/13/2022.

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
1363LP2300XNurse PractitionerPrimary Care904313MISSISSIPPIYes
2363LP2300XNurse PractitionerPrimary Care28617TENNESSEENo

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: 3/30/2025

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