MRS. CAROLINE BLAKE ELLENBURG YOUNGBLOOD CRNP
NPI 1619242674
Nurse Practitioner - Family in Birmingham, AL

Active since March 09, 2012
504 BROOKWOOD BLVD, BIRMINGHAM, AL 35209(205) 871-9661(205) 870-1621 Get Directions Write a Review

NPPES record last updated: March 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Caroline Blake Ellenburg Youngblood Crnp NPPES

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

MRS. CAROLINE BLAKE ELLENBURG YOUNGBLOOD CRNP (NPI 1619242674) is an individual family provider in Birmingham, Alabama, licensed in Alabama (1-120527) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1619242674
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CAROLINE BLAKE ELLENBURG YOUNGBLOODCredential: CRNP
Location Address504 BROOKWOOD BLVDBirmingham, AL 35209-6802
Mailing Address504 Brookwood BlvdBirmingham, AL 35209-6802 · (205) 871-9661 · Fax (205) 870-1621
Fax(205) 870-1621
Sole ProprietorNo
Enumeration DateMarch 9, 2012
Last NPPES UpdateMarch 23, 2015
NPI 1619242674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in AL · 1-120527 Licensed in TN · 15875
504 BROOKWOOD BLVD, Birmingham, AL 35209

Other Names 1

Other Name (5)Miss Caroline Blake Ellenburg Crnp

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Family)
504 BROOKWOOD BLVD
HOMEWOOD, AL 35209
Allergy & Immunology
504 BROOKWOOD BLVD
HOMEWOOD, AL 35209
Nurse Practitioner (Family)
504 BROOKWOOD BLVD
BIRMINGHAM, AL 35209
Nurse Practitioner (Family)
504 BROOKWOOD BLVD
BIRMINGHAM, AL 35209
Specialist
504 BROOKWOOD BLVD
BIRMINGHAM, AL 35209
Allergy & Immunology
504 BROOKWOOD BLVD
BIRMINGHAM, AL 35209
Nurse Practitioner
504 BROOKWOOD BLVD
BIRMINGHAM, AL 35209
Nurse Practitioner (Family)
504 BROOKWOOD BLVD
BIRMINGHAM, AL 35209

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 Caroline Blake Youngblood's NPI number?

The NPI number for Caroline Blake Youngblood is 1619242674. It was assigned to this individual provider in the NPPES registry on March 9, 2012. The provider is also known as Miss Caroline Blake Ellenburg Crnp.

Where is Caroline Blake Youngblood located?

Caroline Blake Youngblood practices at 504 Brookwood Blvd, Birmingham, AL 35209. The listed phone number is (205) 871-9661.

What is Caroline Blake Youngblood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Caroline Blake Youngblood was last updated on March 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.