VICTORIA ELISE BLACKMON (NPI# 1831796614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831796614 |
| Entity Type | Individual |
| Full Name | VICTORIA ELISE BLACKMON |
| Practice Address |
6019 Walnut Grove Rd Memphis TN 38120-2113 |
| Mailing Address |
33 E Northwood Dr Memphis TN 38111-4703 |
| Practice Telephone | 9012265000 |
| Mailing Telephone | 6015944563 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
904087 | MS | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368114 | Victoria Blackmon | Occupational Therapy Assistant | 12742 Division St Unit 1, Blue Island, IL 60406-3476 | 2020-05-27 |
| Street Address |
6019 WALNUT GROVE RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738128 | Alka Kamo | Internal Medicine | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2005-05-24 |
| 1134728512 | Josh Randall Miller | Registered Nurse | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-10-18 |
| 1689272551 | Bryant Jerel Meeks | Registered Nurse | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-10-13 |
| 1134736499 | Zachary Aaron Ortiz | Registered Nurse | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-09-30 |
| 1306453345 | Erin Bomar | Registered Nurse | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-09-24 |
| 1215546262 | Vickie Pitman | Nurse Practitioner | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-07-27 |
| 1417574609 | Taylor Money-williams | Pharmacist | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-07-03 |
| 1730702861 | Michael Jason Hackett | Nurse Anesthetist, Certified Registered | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-05-23 |
| 1487276895 | Jayson Powell | Perfusionist | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-05-08 |
| 1720609076 | Sunny Kamlesh Brahmbhatt | Student in an Organized Health Care Education/Training Program | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2020-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063991677 | Channien Lanet Rogers | Registered Nurse | 5180 Park Ave Ste 250, Memphis, TN 38119-3535 | 2018-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144780149 | Candace Simpson | Registered Nurse | 1345 Bell Rd Unit 306, Antioch, TN 37013-6713 | 2019-03-25 |
| 1649798299 | Megan Warren | Registered Nurse | 7004 Nickalus Way, Spring Hill, TN 37174 | 2017-09-05 |
| 1447494331 | Kathy Lane Carter | Registered Nurse | 113 23rd Ave North, Nashville, TN 37203-1503 | 2009-04-23 |
| 1992948129 | Emma Jeaneen Hughes Hopson II | Registered Nurse | 386 Highway 91, Elizabethton, TN 37643-6060 | 2009-04-17 |
| 1649412693 | Janet E Glover | Registered Nurse | 3718 Nolesville Pike, Nashville, TN 37211 | 2009-04-06 |
| 1558531566 | Sameerah Ali | Registered Nurse | 2072 Nashboro Blvd, Nashville, TN 37217-3869 | 2008-03-05 |
| 1841488020 | Elizabeth Raye Houchins | Registered Nurse | 100 Coley St, Kingsport, TN 37660-1505 | 2007-10-12 |
| 1003003443 | Virginia Diane Copas | Registered Nurse | 904 Fordtown Rd, Kingsport, TN 37663-3208 | 2007-10-01 |
| 1083801617 | Laura Ruth Jennings | Registered Nurse | 333 Hill Rd, Kingsport, TN 37664-4316 | 2007-09-27 |
| 1891982427 | Bambi Rachelle Krtausch | Registered Nurse | 2348 Highway 75, Blountville, TN 37617-6340 | 2007-09-27 |
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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.