Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CRYSTAL BLACKMON
NPI 1558271775
Nurse Practitioner - Psychiatric/Mental Health in Converse, TX

Q: What is Crystal Blackmon's NPI number?

The NPI number for Crystal Blackmon is 1558271775. It was assigned to this individual provider in the NPPES registry on September 10, 2026.

Q: What is Crystal Blackmon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Blackmon was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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 10, 2026

6819 REBEL GROVE DR, CONVERSE, TX 78109(210) 717-3848 Get Directions Write a Review

NPPES record added: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Crystal Blackmon NPPES

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

CRYSTAL BLACKMON (NPI 1558271775) is an individual psychiatric/mental health provider in Converse, Texas, licensed in Texas (1248615) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1558271775

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCRYSTAL BLACKMON

Location Address6819 REBEL GROVE DRConverse, TX 78109-3414

Mailing Address6819 Rebel Grove DrConverse, TX 78109-3414 · (210) 717-3848

Phone(210) 717-3848

Sole ProprietorYes

Enumeration DateSeptember 10, 2026

NPPES CertifiedAugust 5, 2026

✔ NPI 1558271775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · 1248615

6819 REBEL GROVE DR, Converse, TX 78109

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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 Crystal Blackmon's NPI number?

The NPI number for Crystal Blackmon is 1558271775. It was assigned to this individual provider in the NPPES registry on September 10, 2026.

Where is Crystal Blackmon located?

Crystal Blackmon practices at 6819 Rebel Grove Dr, Converse, TX 78109. The listed phone number is (210) 717-3848.

What is Crystal Blackmon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Crystal Blackmon was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.