DEBORAH A BLACKWELL MSN, RN, FNP-C
NPI 1497905590
Nurse Practitioner in Saint Louis, MO

Q: What is Deborah Blackwell's NPI number?

The NPI number for Deborah Blackwell is 1497905590. It was assigned to this individual provider in the NPPES registry on September 24, 2008.

Q: What is Deborah 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 Deborah Blackwell was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 24, 2008

1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125(314) 652-4100(314) 894-6594 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2020, Nov 7, 2018 (2 updates tracked since 2018).

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About Deborah A Blackwell Msn, Rn, Fnp-c NPPES

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

DEBORAH A BLACKWELL MSN, RN, FNP-C (NPI 1497905590) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (123558) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1497905590

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDEBORAH A BLACKWELLCredential: MSN, RN, FNP-C

Location Address1 JEFFERSON BARRACKS RDSaint Louis, MO 63125-4181

Mailing Address240 Birchlawn DrFlorissant, MO 63033-6333 · (314) 607-8777

Phone(314) 652-4100

Fax(314) 894-6594

Sole ProprietorNo

Enumeration DateSeptember 24, 2008

Last NPPES UpdateMarch 18, 20242 updates tracked since enumeration

NPPES CertifiedNovember 10, 2020

✔ NPI 1497905590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MO · 123558

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 123558 (MO)

Also ListedRegistered Nurse · Dialysis, PeritonealTaxonomy 163WD1100X · License 123558 (MO)

Also ListedRegistered Nurse · NephrologyTaxonomy 163WN0300X · License 123558 (MO)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 123558 (MO)

1 JEFFERSON BARRACKS RD, Saint Louis, MO 63125

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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.

KATHERINE LAZET DO

Family Medicine