INDIGO BLACKFORD
NPI 1851224349
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since June 04, 2026

1623 KINGS HWY, BROOKLYN, NY 11229(929) 636-5917 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Indigo Blackford NPPES

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

INDIGO BLACKFORD (NPI 1851224349) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1851224349

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameINDIGO BLACKFORD

Location Address1623 KINGS HWYBrooklyn, NY 11229-1209

Mailing Address1623 Kings HwyBrooklyn, NY 11229-1209

Phone(929) 636-5917

Sole ProprietorNo

Enumeration DateJune 4, 2026

Last NPPES UpdateJune 19, 2026

NPPES CertifiedJune 19, 2026

✔ NPI 1851224349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1623 KINGS HWY, Brooklyn, NY 11229

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