DANIELLE NICOLE BLACKMORE NP NPI 1841939105

NPI Information

  • NPI: 1841939105
  • Provider Name: DANIELLE NICOLE BLACKMORE, NP
  • Classification: Nurse Practitioner - 363LN0000X
  • Specialization: Neonatal
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 101 NICOLLS RD
    STONY BROOK, NY
    ZIP 11794
  • Phone: (631) 444-2000

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NPI Details

Danielle Nicole Blackmore, NP is a neonatal nurse practitioner in Stony Brook, NY. Danielle Nicole Blackmore, NP NPI is 1841939105. 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:

101 NICOLLS RD
STONY BROOK, NY
ZIP 11794-001
Phone: (631) 444-2000

The NPI 1841939105 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 6/3/2022 and was last updated on 11/29/2022.

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
1163WN0002XRegistered NurseNeonatal Intensive Care634244NEW YORKNo
2363LN0000XNurse PractitionerNeonatal350560NEW YORKYes

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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