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TISHA BLACKSTAR LPN
NPI 1932794765
Licensed Practical Nurse in Lawton, OK

Active since March 03, 2021
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507(580) 354-5000 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tisha Blackstar Lpn NPPES

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

TISHA BLACKSTAR LPN (NPI 1932794765) is an individual licensed practical nurse in Lawton, Oklahoma, licensed in Oklahoma (60269) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1932794765
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTISHA BLACKSTARCredential: LPN
Location Address1515 NE LAWRIE TATUM RDLawton, OK 73507-3099
Mailing Address1515 Ne Lawrie Tatum RdLawton, OK 73507-3099 · (580) 354-5000
Phone(580) 354-5000
Sole ProprietorNo
Enumeration DateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1932794765 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 OK · 60269
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.
1515 NE LAWRIE TATUM RD, Lawton, OK 73507
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Other Providers at the Same Location NPPES 20

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

MS. MARTHA COLLEEN FARLEY D.PH.
Pharmacist
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507
Comanche County (580) 354-5532
CHRISTINA HUTCHINSON RN, WCC, DWC
Registered Nurse (Wound Care)
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507
Comanche County (580) 354-5000
TAMYRA GALLEGOS LPN
Licensed Practical Nurse
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507
Comanche County (580) 354-5000
PATRICIA MANTZKE LPN
Licensed Practical Nurse
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507
Comanche County (580) 354-5000
ARLENE L ISHAM RN
Registered Nurse (Emergency)
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507
Comanche County (580) 354-5000
DR. LYNDEE SPRINGER PHARMD
Pharmacist
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507
Comanche County (580) 354-5000
MRS. NATALIE ANN ROBERTSON
Pharmacist
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507
Comanche County (580) 353-0350
MS. ANGELA BATTESE APRN FNP-C
Nurse Practitioner (Family)
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507
Comanche County (580) 354-5440

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 Tisha Blackstar's NPI number?

The NPI number for Tisha Blackstar is 1932794765. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Tisha Blackstar located?

Tisha Blackstar practices at 1515 NE Lawrie Tatum Rd, Lawton, OK 73507. The listed phone number is (580) 354-5000.

What is Tisha Blackstar'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 Tisha Blackstar was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.