CASSANDRA BLACKMON (NPI# 1639313992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639313992 |
| Entity Type | Individual |
| Full Name | CASSANDRA BLACKMON |
| Credential | RN |
| Practice Address |
3810 Winchester Rd Southeast Mental Health Center Memphis TN 38118-6045 |
| Mailing Address |
1885 Wall St Apt 8 Memphis TN 38134-9618 |
| Practice Telephone | 9013691400 |
| Practice Fax Number | 9013691433 |
| Mailing Telephone | 9019070035 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 162463 | TN | Nursing Service Providers |
| Street Address |
3810 WINCHESTER RD SOUTHEAST MENTAL HEALTH CENTER |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38118-6045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952400996 | Debra Sue Dillon | Registered Nurse | 3810 Winchester Rd, Southeast Mental Health Center, Memphis, TN 38118-9007 | 2006-09-22 |
| 1093313892 | Kimberly Byars | Social Worker | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2020-10-14 |
| 1346748332 | William R Rubino Jr. | Counselor | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2018-01-25 |
| 1952819047 | Melanie S Nolan | Nurse Practitioner | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2018-01-11 |
| 1083165104 | Alliance Healthcare Pharmacy | Pharmacy | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2016-10-24 |
| 1225466048 | Tareyton Mason | Nurse Practitioner | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2013-10-15 |
| 1811235575 | Eric Micheal Harlin | Social Worker | 3810 Winchester Rd, Memphis, TN 38118 | 2013-01-30 |
| 1861738916 | Douglas Hodge | Counselor | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2012-12-18 |
| 1730449455 | /yvette Hunter | Counselor | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2012-05-29 |
| 1003175373 | Danielle Wells | Case Manager/Care Coordinator | 3810 Winchester Rd, Memphis, TN 38118-6045 | 2012-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295719 | Dmc Memphis, LLC | Clinic/Center | 3000 Getwell Road, Memphis, TN 38118 | 2020-04-29 |
| 1053958736 | Randy Johnson | Technician | 3221 Gina Drive, Memphis, TN 38118 | 2019-12-02 |
| 1215415823 | Life Partners Home Care Agency, LLC | In Home Supportive Care | 2879 Knightway Road, Memphis, TN 38118 | 2018-08-06 |
| 1326589318 | Latasha Rachell Martin | Nurse Practitioner | 3960 Knight Arnold Rd, Suite 205, Memphis, TN 38118 | 2017-03-10 |
| 1770957375 | Teresa Hughes | Social Worker | 3180 Winchester Road, Memphis, TN 38118 | 2015-11-19 |
| 1891170437 | Bensons Express Pharmacy | Health Maintenance Organization | 3081 South Perkins Rd, Memphis, TN 38118 | 2015-07-24 |
| 1083044226 | Kimberly Winters Griffin | Nurse's Aide | 4100 Tarry Park Apt1, Memphis, TN 38118 | 2013-11-26 |
| 1508017211 | Amy Renee Rike | Counselor | 3960 Knight Arnold Rd. Suite 300, Delta Medical Center - Outpatient Psychiatric Services, Memphis, TN 38118 | 2008-10-01 |
| 1396996047 | Carol Lynn Harriss | Registered Nurse | 2620thousand Oaks Blvd, Suite 2400, Memphis, TN 38118 | 2008-09-30 |
| 1295994671 | Vcphcs I, LLC | Clinic/Center | 4539 Winchester Road, Suite 111, Memphis, TN 38118 | 2008-06-02 |
| Find all providers in zip 38118 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659997120 | Soraya Ghelichkhani | Registered Nurse | 283 Alexander St, Memphis, TN 38111-4507 | 2020-06-22 |
| 1801412283 | Mallory Washington | Registered Nurse | 1287 Island Harbor Dr, Memphis, TN 38103-8998 | 2020-06-22 |
| 1144846767 | Avanti Cross | Registered Nurse | Uthsc College of Nursing 920 Madison Ave, Memphis, TN 38163-0001 | 2020-06-19 |
| 1881256501 | Raquel Mack | Registered Nurse | 848 Adams Ave Ste L201, Memphis, TN 38103-2816 | 2019-07-02 |
| 1235790429 | Jennifer Poole Ferrell | Registered Nurse | 50 N Dunlap St Rm 367r, Memphis, TN 38103-2800 | 2019-06-27 |
| 1326513201 | Rhakevia Reeves Carter | Registered Nurse | 8331 Championship Dr Apt 201, Memphis, TN 38125-0716 | 2018-10-08 |
| 1003331570 | Marian Madolyn Stott | Registered Nurse | 6084 Apple Tree Dr, Memphis, TN 38115-0305 | 2017-08-07 |
| 1124497706 | Raven Oliver | Registered Nurse | 2533 Richwood St, Memphis, TN 38134-5320 | 2015-09-24 |
| 1407240732 | Kajuandria Da Beasley-williams | Registered Nurse | 1251 Wesley Dr Ste 153, Memphis, TN 38116-6443 | 2015-03-25 |
| 1447641634 | Marqueta V Abraham | Registered Nurse | 4554 Hodge Rd, Memphis, TN 38109-5959 | 2015-02-10 |
| Find all providers in MEMPHIS | ||||
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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.