BRANDON STUART BLACKWOOD (NPI# 1144867441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144867441 |
| Entity Type | Individual |
| Full Name | BRANDON STUART BLACKWOOD |
| Credential | FNP-C |
| Practice Address |
1000 N Westmoreland Rd Lake Forest IL 60045-1658 |
| Mailing Address |
415 W Aldine Ave Apt 2c Chicago IL 60657-3601 |
| Practice Telephone | 8472345600 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2020-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209020242 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SE0003X |
Clinical Nurse Specialist Specialization: Emergency |
209020242 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1000 N WESTMORELAND RD |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025176 | Northwestern Lake Forest Hospital | General Acute Care Hospital | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2005-07-06 |
| 1528676467 | Wendy Sue Tokarz | Registered Nurse | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2020-07-16 |
| 1407479579 | Victoria Nguyen | Registered Nurse | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2020-05-24 |
| 1033739040 | Alexandra Jillayne Giedd | Student in an Organized Health Care Education/Training Program | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2020-04-20 |
| 1619512019 | Robert William Radtke IIi | Physician Assistant | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-11-10 |
| 1972145001 | Steffy James | Family Medicine | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-10-10 |
| 1720631559 | Brianna Nicole Selimos | Plastic Surgery | 1000 N Westmoreland Rd, Lake Forest, IL 60045 | 2019-07-21 |
| 1679137855 | Sylvia Joanna Wier | Plastic Surgery | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-04-23 |
| 1477038347 | Jennifer Nicole Nelson | Nurse Practitioner | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2018-09-26 |
| 1467938464 | Stephanie Jane Clapham | Nurse Practitioner | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2018-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875539 | Lisa L Bednar | Nurse Practitioner | 1000 N Westmoreland Rd Fl 2, Lake Forest, IL 60045-1658 | 2020-06-15 |
| 1407254337 | Lady Ariane Garcia | Nurse Practitioner | 700 N. Westmoreland Rd Suite F, Lake Forest, IL 60045 | 2014-12-09 |
| 1891110359 | Brittany Roth | Nurse Practitioner | 800 N Westmoreland Rd Ste 205, Lake Forest, IL 60045-1687 | 2014-02-20 |
| 1841426822 | Otoniel Gonzalez | Nurse Practitioner | 25621 Ashby Way, Lake Forest, CA 92630-6003 | 2009-06-04 |
| 1578789673 | Elia L. Perez-s | Nurse Practitioner | 24651 Via Tonada, Lake Forest, CA 92630-2029 | 2007-04-17 |
| 1093724874 | Denise A. Lorenz | Nurse Practitioner | 23101 Lake Center Dr, Lake Forest, CA 92630-2801 | 2006-08-07 |
| 1831114750 | Diane L Duddles | Nurse Practitioner | 660 N. Westmoreland Road, Lake Forest Emergency Dept, Lake Forest, IL 60045-1659 | 2006-07-13 |
| 1467938464 | Stephanie Jane Clapham | Nurse Practitioner | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2018-07-13 |
| 1588108203 | Sarah Latoria | Nurse Practitioner | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2016-12-14 |
| 1447625009 | Allison Becca Stein | Nurse Practitioner | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2015-12-08 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.