SIMONE BLACKBURN
NPI 1669309464
Nurse Practitioner - Women's Health in Philadelphia, PA

NPI Status: Active since May 06, 2026

Contact Information

111 S 11TH ST
PHILADELPHIA, PA
ZIP 19107
Phone: (714) 655-9299

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  • Individual
  • Female
  • Nurse Practitioner
  • Women's Health

About SIMONE BLACKBURN

This page provides the complete NPI Profile along with additional information for Simone Blackburn, a provider established in Philadelphia, Pennsylvania with a medical specialization in Nurse Practitioner, focusing in women's health . The healthcare provider is registered in the NPI registry with number 1669309464 assigned on May 2026. The practitioner's primary taxonomy code is 363LW0102X with license number SP032163 (PA). The provider is registered as an individual and her NPI record was last updated May 2026.

NPI
1669309464
Provider Name
SIMONE BLACKBURN
Gender
Female
Entity Type
Individual
Location Address
111 S 11TH ST PHILADELPHIA, PA 19107
Location Phone
(714) 655-9299
Mailing Address
4224 OTTER STREET PHILADELPHIA, PA 19104
Mailing Phone
(714) 655-9299
Is Sole Proprietor?
No
Enumeration Date
05-06-2026
Last Update Date
05-06-2026
Code Navigator

A nurse practitioner (NP) like Simone Blackburn is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Women's Health

Taxonomy Code
363LW0102X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
SP032163
License State
PA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669309464, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 3 → 6 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 6 + 0 + 1 + 8 + 4 + 1 + 2 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1669309464.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Acute Care)
111 S 11TH ST, SUITE 1950 GIBBON
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Internal Medicine (Medical Oncology)
111 S 11TH ST, SUITE 4240
PHILADELPHIA, PA 19107
Nurse Anesthetist, Certified Registered
111 S 11TH ST
PHILADELPHIA, PA 19107
Emergency Medicine
111 S 11TH ST, THOMAS JEFFERSON UNIVERSITY HOSPITAL
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Social Worker (Clinical)
111 S 11TH ST, BODINE CENTER FOR CANCER TREATMENT
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Radiology (Radiation Oncology)
111 S 11TH ST, BODINE CENTER
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669309464, enumerated as an "individual" on May 06, 2026.

The provider is located at 111 S 11TH ST PHILADELPHIA, PA 19107 and the phone number is (714) 655-9299.

Nurse Practitioner with taxonomy code 363LW0102X and a focus in Women's Health.