TRACY PRIMUS-BLACKMON
NPI 1760931604
Licensed Practical Nurse in Akron, OH

Active since October 03, 2016
985 GORGE BLVD, AKRON, OH 44310(330) 761-2665(330) 761-2661 Get Directions Write a Review

NPPES record last updated: October 3, 2016. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Tracy Primus-blackmon NPPES

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

TRACY PRIMUS-BLACKMON (NPI 1760931604) is an individual licensed practical nurse in Akron, Ohio, licensed in Ohio (LPN.143750.MEDS-IV) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1760931604
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTRACY PRIMUS-BLACKMON
Location Address985 GORGE BLVDAkron, OH 44310-2407
Mailing Address534 Merriman RdAkron, OH 44303-1644 · (330) 761-2665 · Fax (330) 761-2661
Fax(330) 761-2661
Sole ProprietorYes
Enumeration DateOctober 3, 2016
✔ NPI 1760931604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · LPN.143750.MEDS-IV
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
985 GORGE BLVD, Akron, OH 44310

Other Names 1

Professional Name (2)Mrs. Tracy Primus-blackmon Lpn

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Federally Qualified Health Center (FQHC))
985 GORGE BLVD
AKRON, OH 44310
Speech-Language Pathologist
985 GORGE BLVD
AKRON, OH 44310
Physical Therapist
985 GORGE BLVD
AKRON, OH 44310

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 Tracy Primus-blackmon's NPI number?

The NPI number for Tracy Primus-blackmon is 1760931604. It was assigned to this individual provider in the NPPES registry on October 3, 2016. The provider is also known as Mrs. Tracy Primus-Blackmon Lpn.

Where is Tracy Primus-blackmon located?

Tracy Primus-blackmon practices at 985 Gorge Blvd, Akron, OH 44310. The listed phone number is (330) 761-2665.

What is Tracy Primus-blackmon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tracy Primus-blackmon was last updated on October 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.