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MS. GLORIA D BLACKMON
NPI 1619622354
Specialist - Prosthetics Case Management in Detroit, MI

Active since February 21, 2022
11891 WISCONSIN STREET, DETROIT, MI 48204(248) 508-2611 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Gloria D Blackmon NPPES

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

MS. GLORIA D BLACKMON (NPI 1619622354) is an individual prosthetics case management provider in Detroit, Michigan and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1619622354
Entity TypeIndividualFemale
Primary Taxonomy1744P3200X
Provider Legal NameMS. GLORIA D BLACKMON
Location Address11891 WISCONSIN STREETDetroit, MI 48204-1045
Mailing Address11891 Wisconsin StreetDetroit, MI 48204-1045 · (248) 508-2611
Phone(248) 508-2611
Sole ProprietorYes
Enumeration DateFebruary 21, 2022
NPPES CertifiedFebruary 17, 2022
✔ NPI 1619622354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
11891 WISCONSIN STREET, Detroit, MI 48204
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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 Gloria Blackmon's NPI number?

The NPI number for Gloria Blackmon is 1619622354. It was assigned to this individual provider in the NPPES registry on February 21, 2022.

Where is Gloria Blackmon located?

Gloria Blackmon practices at 11891 Wisconsin Street, Detroit, MI 48204. The listed phone number is (248) 508-2611.

What is Gloria Blackmon's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Gloria Blackmon was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.