CONNIE SUE BLACKWELL RN CNP
NPI 1437195823
Nurse Practitioner in Coon Rapids, MN

Q: What is Connie Blackwell's NPI number?

The NPI number for Connie Blackwell is 1437195823. It was assigned to this individual provider in the NPPES registry on June 22, 2006. The provider is also known as Connie Sue Amundson.

Q: What is Connie Blackwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Connie Blackwell was last updated on October 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 22, 2006

10081 DOGWOOD ST NW, SUITE 100, COON RAPIDS, MN 55448(763) 783-3722(763) 783-7944 Get Directions Write a Review

NPPES record last updated: October 13, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Connie Sue Blackwell Rn Cnp NPPES

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

CONNIE SUE BLACKWELL RN CNP (NPI 1437195823) is an individual nurse practitioner in Coon Rapids, Minnesota, licensed in Minnesota (A0813103) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1437195823

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCONNIE SUE BLACKWELLCredential: RN CNP

Location Address10081 DOGWOOD ST NW, SUITE 100Coon Rapids, MN 55448-5281

Mailing Address10081 Dogwood St Nw, Suite 100Coon Rapids, MN 55448-5281 · (763) 783-3722 · Fax (763) 783-7944

Phone(763) 783-3722

Fax(763) 783-7944

Sole ProprietorNo

Enumeration DateJune 22, 2006

Last NPPES UpdateOctober 13, 2011

✔ NPI 1437195823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MN · A0813103

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

10081 DOGWOOD ST NW, Coon Rapids, MN 55448

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Other Names 1

Former Name (1)Connie Sue Amundson

Other Identifiers 5

Other31257BLMN · Blue Cross Blue Shield

Medicaid2911984200MN

Other1203352MN · Medica

Medicare UPINQ01068

Medicare ID-Type Unspecified500003073

Other Providers at the Same Location NPPES 3

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

ANGELA RONAY M.S.W, LICSW

Social Worker (Clinical)

10081 DOGWOOD ST NW, SUITE 100
COON RAPIDS, MN 55448

Anoka County (763) 783-3722

DAWN BLANKENSHIP LICSW

Social Worker (Clinical)

10081 DOGWOOD ST NW, SUITE 100
COON RAPIDS, MN 55448

Anoka County (763) 783-3722

MR. TIMOTHY STEVEN BREDOW RN, PHD,, CNP

Nurse Practitioner (Family)

10081 DOGWOOD ST NW, SUITE 100
COON RAPIDS, MN 55448

Anoka County (763) 783-3722

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 Connie Blackwell's NPI number?

The NPI number for Connie Blackwell is 1437195823. It was assigned to this individual provider in the NPPES registry on June 22, 2006. The provider is also known as Connie Sue Amundson.

Where is Connie Blackwell located?

Connie Blackwell practices at 10081 Dogwood St NW Suite 100, Coon Rapids, MN 55448. The listed phone number is (763) 783-3722.

What is Connie Blackwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Connie Blackwell was last updated on October 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.