TAYLOR BLACKWOOD DO
NPI 1114591203
Student in an Organized Health Care Education/Training Program in Lubbock, TX

Q: What is Taylor Blackwood's NPI number?

The NPI number for Taylor Blackwood is 1114591203. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Q: What is Taylor Blackwood's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Taylor Blackwood was last updated on May 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 13, 2021PECOS Enrolled

3601 4TH ST, LUBBOCK, TX 79430(806) 743-1000 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Taylor Blackwood Do NPPES

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

TAYLOR BLACKWOOD DO (NPI 1114591203) is an individual student in an organized health care education/training program in Lubbock, Texas and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114591203

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTAYLOR BLACKWOODCredential: DO

Location Address3601 4TH STLubbock, TX 79430-0002

Mailing Address2556 Stadium DrFort Worth, TX 76109-1369

Phone(806) 743-1000

Sole ProprietorNo

Enumeration DateMay 13, 2021

NPPES CertifiedMay 13, 2021

✔ NPI 1114591203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3601 4TH ST, Lubbock, TX 79430

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor Blackwood Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.