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KAYLYNN RAE BLACKSTAD MD
NPI 1952152035
Student in an Organized Health Care Education/Training Program in Lexington, KY

Active since March 28, 2024PECOS Enrolled
245 FOUNTAIN CT STE 225, LEXINGTON, KY 40509(859) 323-6861 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaylynn Rae Blackstad Md NPPES

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

KAYLYNN RAE BLACKSTAD MD (NPI 1952152035) is an individual student in an organized health care education/training program in Lexington, Kentucky and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952152035
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAYLYNN RAE BLACKSTADCredential: MD
Location Address245 FOUNTAIN CT STE 225Lexington, KY 40509-2794
Mailing Address245 Fountain Ct Ste 225Lexington, KY 40509-2794 · (859) 323-6861
Phone(859) 323-6861
Sole ProprietorNo
Enumeration DateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
✔ NPI 1952152035 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.
245 FOUNTAIN CT STE 225, Lexington, KY 40509
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Other Names 1

Former Name (1)Kaylynn Rae Wilkes Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaylynn Rae Blackstad Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MR. JOSHUA C TRUMBULL LCSW
Social Worker (Clinical)
245 FOUNTAIN CT STE 225
LEXINGTON, KY 40509
Fayette County (859) 323-6021
MAUREEN WAWERU-MESSERSMITH MD
Psychiatry & Neurology (Psychiatry)
245 FOUNTAIN CT STE 225
LEXINGTON, KY 40509
Fayette County (859) 323-6021
DANIEL TAYLOR HOOVER MD
Student in an Organized Health Care Education/Training Program
245 FOUNTAIN CT STE 225
LEXINGTON, KY 40509
Fayette County (859) 323-6861
TIFFANY LEANN ARPS LCSW
Social Worker (Clinical)
245 FOUNTAIN CT STE 225
LEXINGTON, KY 40509
Fayette County (859) 323-6021
ERICA JOANN MILLER LCSW
Social Worker (Clinical)
245 FOUNTAIN CT STE 225
LEXINGTON, KY 40509
Fayette County (859) 323-6021
JEANNIE WILKINS APRN
Nurse Practitioner (Psychiatric/Mental Health)
245 FOUNTAIN CT STE 225
LEXINGTON, KY 40509
Fayette County (859) 323-6021
MARGARET STULL MD
Student in an Organized Health Care Education/Training Program
245 FOUNTAIN CT STE 225
LEXINGTON, KY 40509
Fayette County (859) 323-6861
LARA VICTORIA OSBORNE MD
Student in an Organized Health Care Education/Training Program
245 FOUNTAIN CT STE 225
LEXINGTON, KY 40509
Fayette County (859) 323-6861

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 Kaylynn Blackstad's NPI number?

The NPI number for Kaylynn Blackstad is 1952152035. It was assigned to this individual provider in the NPPES registry on March 28, 2024. The provider is also known as Kaylynn Rae Wilkes MD.

Where is Kaylynn Blackstad located?

Kaylynn Blackstad practices at 245 Fountain Ct Ste 225, Lexington, KY 40509. The listed phone number is (859) 323-6861.

What is Kaylynn Blackstad's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kaylynn Blackstad enrolled in Medicare?

Yes. Kaylynn Blackstad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaylynn Blackstad was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.