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WILLIAM DAVID BLACKMON RN, FNP-C
NPI 1679839138
Nurse Practitioner - Family in Anderson, CA

Active since April 09, 2012
2830 EAST ST, ANDERSON, CA 96007(530) 365-2545 Get Directions Write a Review

NPPES record last updated: August 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William David Blackmon Rn, Fnp-c NPPES

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

WILLIAM DAVID BLACKMON RN, FNP-C (NPI 1679839138) is an individual family provider in Anderson, California, licensed in California (21914) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1679839138
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameWILLIAM DAVID BLACKMONCredential: RN, FNP-C
Location Address2830 EAST STAnderson, CA 96007-3408
Mailing Address2830 East StAnderson, CA 96007-3408 · (530) 365-2545
Phone(530) 365-2545
Sole ProprietorYes
Enumeration DateApril 9, 2012
Last NPPES UpdateAugust 24, 2013
✔ NPI 1679839138 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
License✔ Licensed in CA · 21914
2830 EAST ST, Anderson, CA 96007
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Other Providers at the Same Location NPPES 6

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

CHRISTIAN CASEY YOUNG FNP
Nurse Practitioner (Family)
2830 EAST ST
ANDERSON, CA 96007
Shasta County (530) 365-2545
ANDERSON MEDICAL ASSOCIATES
Family Medicine
2830 EAST ST
ANDERSON, CA 96007
Shasta County (530) 365-2545
RAJ KUMARI
Internal Medicine
2830 EAST ST
ANDERSON, CA 96007
Shasta County (530) 365-4265
ROBERTA ANN SAMPLES MSN, APRN, FNP-BC
Nurse Practitioner (Family)
2830 EAST ST
ANDERSON, CA 96007
Shasta County (530) 365-2545
SUSAN RAE AULT FNP
Nurse Practitioner (Family)
2830 EAST ST
ANDERSON, CA 96007
Shasta County (530) 365-2545
DR. NIRMAL SINGH MEHTON MD
Family Medicine
2830 EAST ST
ANDERSON, CA 96007
Shasta County (530) 365-2545

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 William Blackmon's NPI number?

The NPI number for William Blackmon is 1679839138. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Where is William Blackmon located?

William Blackmon practices at 2830 East St, Anderson, CA 96007. The listed phone number is (530) 365-2545.

What is William Blackmon'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 William Blackmon was last updated on August 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.