AUDRA BLICKENSTAFF
NPI 1477427573
Psychologist - School in San Jose, CA
About Audra Blickenstaff NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUDRA BLICKENSTAFF (NPI 1477427573) is an individual school provider in San Jose, California and active in the NPI registry since October 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Audra Blickenstaff's NPI number?
The NPI number for Audra Blickenstaff is 1477427573. It was assigned to this individual provider in the NPPES registry on October 1, 2025.
Where is Audra Blickenstaff located?
Audra Blickenstaff practices at 1970 Willow St, San Jose, CA 95125. The listed phone number is (408) 978-4675.
What is Audra Blickenstaff's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.
When was this NPI record last updated?
The NPPES record for Audra Blickenstaff was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.