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KEAVY NAKIA BLALOCK JR.
NPI 1255001376
Peer Specialist in Tacoma, WA

Active since September 20, 2021
2201 S 19TH ST, TACOMA, WA 98405(253) 495-5270 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keavy Nakia Blalock Jr. NPPES

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

KEAVY NAKIA BLALOCK JR. (NPI 1255001376) is an individual peer specialist in Tacoma, Washington and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1255001376
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKEAVY NAKIA BLALOCK JR.
Location Address2201 S 19TH STTacoma, WA 98405-2962
Mailing Address2201 S 19th StTacoma, WA 98405-2962 · (253) 495-5270
Phone(253) 495-5270
Sole ProprietorYes
Enumeration DateSeptember 20, 2021
NPPES CertifiedSeptember 16, 2021
✔ NPI 1255001376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2201 S 19TH ST, Tacoma, WA 98405
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. JAMES S GRIFFITH MD
Psychiatry & Neurology (Neurology)
2201 S 19TH ST, STE 205
TACOMA, WA 98405
Pierce County (253) 383-1066
DR. REX MARTIN ALVORD JR. MD
Family Medicine (Addiction Medicine)
2201 S 19TH ST
TACOMA, WA 98405
Pierce County (253) 272-3056
JEANELLE VEGA CORNELIO
Counselor
2201 S 19TH ST
TACOMA, WA 98405
Pierce County (253) 697-8400
AMPHONE PHOUMMANY
Counselor
2201 S 19TH ST
TACOMA, WA 98405
Pierce County (253) 301-5237
MS. BILLIE JO PERIMAN CPC
Peer Specialist
2201 S 19TH ST
TACOMA, WA 98405
Pierce County (253) 301-5200
TAYLOR WEBSTER
Social Worker (Clinical)
2201 S 19TH ST
TACOMA, WA 98405
Pierce County (253) 549-5775
TACOMA NEUROLOGICAL ASSOCIATES INC PS
Psychiatry & Neurology (Neurology)
2201 S 19TH ST, SUITE 205
TACOMA, WA 98405
Pierce County (253) 383-1066
DR. SWATI DEVENDRA VORA MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2201 S 19TH ST, SUITE 205
TACOMA, WA 98405
Pierce County (253) 274-5616

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 Keavy Blalock's NPI number?

The NPI number for Keavy Blalock is 1255001376. It was assigned to this individual provider in the NPPES registry on September 20, 2021.

Where is Keavy Blalock located?

Keavy Blalock practices at 2201 S 19th St, Tacoma, WA 98405. The listed phone number is (253) 495-5270.

What is Keavy Blalock's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Keavy Blalock was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.