MRS. SHANNON BLACKSTOCK RN, CPNP
NPI 1174801138
Nurse Practitioner - Pediatrics in Austin, TX

Q: What is Shannon Blackstock's NPI number?

The NPI number for Shannon Blackstock is 1174801138. It was assigned to this individual provider in the NPPES registry on July 25, 2011.

Q: What is Shannon Blackstock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since July 25, 2011

1301 BARBARA JORDAN BLVD, SUITE 200, AUSTIN, TX 78723(512) 628-1850 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Shannon Blackstock Rn, Cpnp NPPES

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

MRS. SHANNON BLACKSTOCK RN, CPNP (NPI 1174801138) is an individual pediatrics provider in Austin, Texas, licensed in Texas (731190) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1174801138

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. SHANNON BLACKSTOCKCredential: RN, CPNP

Location Address1301 BARBARA JORDAN BLVD, SUITE 200Austin, TX 78723-3077

Mailing Address1301 Barbara Jordan Blvd, Suite 200Austin, TX 78723-3077

Phone(512) 628-1850

Sole ProprietorNo

Enumeration DateJuly 25, 2011

Last NPPES UpdateFebruary 29, 2012

✔ NPI 1174801138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in TX · 731190

1301 BARBARA JORDAN BLVD, Austin, TX 78723

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK B SMITH MD

Surgery

1301 BARBARA JORDAN BLVD, SUITE 400
SAN ANTONIO, TX 78723

Travis County (512) 708-1234

JEFFREY R HORWITZ MD

Surgery

1301 BARBARA JORDAN BLVD, SUITE 400
AUSTIN, TX 78723

Travis County (512) 708-1234

AMANDA RAMOS HODGE MSN, APN, CPNP

Nurse Practitioner (Pediatrics)

1301 BARBARA JORDAN BLVD, #302
AUSTIN, TX 78723

Travis County (512) 472-6134

MICHAEL D JOSEPHS MD

Surgery

1301 BARBARA JORDAN BLVD, SUITE 400
AUSTIN, TX 78723

Travis County (512) 708-1234

CENTRAL TEXAS PEDIATRIC ORTHOPEDICS AND SCOLIOSIS SURGERY PA

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)

1301 BARBARA JORDAN BLVD, SUITE 300
AUSTIN, TX 78723

Travis County (512) 478-8116

NILDA M GARCIA MD

Surgery

1301 BARBARA JORDAN BLVD, SUITE 400
AUSTIN, TX 78723

Travis County (512) 708-1234

DR. DAVE F CLARKE MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

1301 BARBARA JORDAN BLVD, SUITE #200
AUSTIN, TX 78723

Travis County (512) 628-1850

HOWARD MAX ROSENBLATT M.D.

Allergy & Immunology

1301 BARBARA JORDAN BLVD, #200
AUSTIN, TX 78723

Travis County (512) 628-1870

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 Shannon Blackstock's NPI number?

The NPI number for Shannon Blackstock is 1174801138. It was assigned to this individual provider in the NPPES registry on July 25, 2011.

Where is Shannon Blackstock located?

Shannon Blackstock practices at 1301 Barbara Jordan Blvd Suite 200, Austin, TX 78723. The listed phone number is (512) 628-1850.

What is Shannon Blackstock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Shannon Blackstock was last updated on February 29, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.