DR. LAVERNE RUTH BLACKWELL M.D.
NPI 1962416594
Radiology - Diagnostic Radiology in Fayetteville, AR

Active since July 28, 2006
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703(479) 443-4301 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Laverne Ruth Blackwell M.d. NPPES

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

DR. LAVERNE RUTH BLACKWELL M.D. (NPI 1962416594) is an individual diagnostic radiology provider in Fayetteville, Arkansas, licensed in Arizona (21827) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1962416594
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. LAVERNE RUTH BLACKWELLCredential: M.D.
Location Address1100 N COLLEGE AVEFayetteville, AR 72703-1944
Mailing Address1100 N College AveFayetteville, AR 72703-1944 · (479) 443-4301
Sole ProprietorNo
Enumeration DateJuly 28, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1962416594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in AZ · 21827 Licensed in CA · A40527
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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.

Nurse Practitioner (Family)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Physician Assistant
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Social Worker
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Anesthesiology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
General Acute Care Hospital
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Ophthalmology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703

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 Laverne Blackwell's NPI number?

The NPI number for Laverne Blackwell is 1962416594. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Laverne Blackwell located?

Laverne Blackwell practices at 1100 N College Ave, Fayetteville, AR 72703. The listed phone number is (479) 443-4301.

What is Laverne Blackwell's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Laverne Blackwell was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.