TAIYONNA MARSHEA LYNNESE BLACKMON LPN
NPI 1033949243
Licensed Practical Nurse in Saint Louis, MO

Q: What is Taiyonna Blackmon's NPI number?

The NPI number for Taiyonna Blackmon is 1033949243. It was assigned to this individual provider in the NPPES registry on August 2, 2024.

Q: What is Taiyonna Blackmon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Taiyonna Blackmon was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 02, 2024

4577 CARTER AVE, SAINT LOUIS, MO 63115(314) 410-9117 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Taiyonna Marshea Lynnese Blackmon Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAIYONNA MARSHEA LYNNESE BLACKMON LPN (NPI 1033949243) is an individual licensed practical nurse in Saint Louis, Missouri, licensed in Missouri (2020033205) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1033949243

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameTAIYONNA MARSHEA LYNNESE BLACKMONCredential: LPN

Location Address4577 CARTER AVESaint Louis, MO 63115-2516

Mailing Address4577 Carter AveSaint Louis, MO 63115-2516 · (314) 410-9117

Phone(314) 410-9117

Sole ProprietorYes

Enumeration DateAugust 2, 2024

NPPES CertifiedAugust 2, 2024

✔ NPI 1033949243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MO · 2020033205

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

4577 CARTER AVE, Saint Louis, MO 63115

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taiyonna Blackmon's NPI number?

The NPI number for Taiyonna Blackmon is 1033949243. It was assigned to this individual provider in the NPPES registry on August 2, 2024.

Where is Taiyonna Blackmon located?

Taiyonna Blackmon practices at 4577 Carter Ave, Saint Louis, MO 63115. The listed phone number is (314) 410-9117.

What is Taiyonna Blackmon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Taiyonna Blackmon was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.