MRS. CODY BLACKMON (NPI# 1487197232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487197232 |
| Entity Type | Individual |
| Full Name | MRS. CODY BLACKMON |
| Practice Address |
11200 N Portland Ave Oklahoma City OK 73120-5045 |
| Practice Telephone | 4059361500 |
| Mailing Telephone | 4059361500 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
98640 | OK | Nursing Service Providers |
| Street Address |
11200 N PORTLAND AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-5045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417954504 | Lisa J Wasemiller-smith | Obstetrics & Gynecology | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2005-07-05 |
| 1659912855 | Elizabeth Ann Bennett | Family Medicine | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2019-09-30 |
| 1467906305 | Alisha Wilke | Nurse Practitioner | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2016-08-09 |
| 1902270358 | Melissa Daree Willman | Registered Nurse | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2015-11-23 |
| 1710365390 | Ian Gray | Anesthesiology | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2015-05-14 |
| 1902245988 | Alicia J Jackson | Massage Therapist | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2013-06-23 |
| 1952650400 | Regina Lynn Webber | Nurse Practitioner | 11200 N Portland Ave, 2nd Floor, Oklahoma City, OK 73120-5045 | 2012-08-30 |
| 1972885044 | Diagnostic Laboratory of Oklahoma, LLC | Clinical Medical Laboratory | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2011-09-15 |
| 1720375363 | Lacy Parker | Obstetrics & Gynecology | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2011-07-04 |
| 1811295108 | Lakeside Women's Center of Oklahoma City, LLC | Obstetrics & Gynecology | 11200 N Portland Ave, Oklahoma City, OK 73120-5045 | 2011-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456645 | Shantel Harlin | Registered Nurse | 6208 N Vermont Ave, Oklahoma City, OK 73112-1312 | 2020-08-02 |
| 1447738604 | Michelle Walton | Registered Nurse | 3330 Nw Expressway, Oklahoma City, OK 73112-4418 | 2018-07-31 |
| 1659828648 | Cynthia Jane Laney | Registered Nurse | 4401 South Western, Oklahoma City, OK 73109 | 2016-09-07 |
| 1336537646 | Tracy Dejesus | Registered Nurse | 1616 Brown Oaks Dr, Oklahoma City, OK 73127-3132 | 2015-01-08 |
| 1881033967 | Sarah Dabney Bendure | Registered Nurse | 9901 N May Ave Ste 110, Oklahoma City, OK 73120-2734 | 2013-06-21 |
| 1063670347 | Anita C Wingfield | Registered Nurse | 7200 Nw 105th Ter, Oklahoma City, OK 73162 | 2008-05-23 |
| 1447878152 | Sabrina Smith | Registered Nurse | 3300 Nw Expressway, Oklahoma City, OK 73112-4999 | 2020-07-09 |
| 1992344246 | Melissa Marie Colasacco | Registered Nurse | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-01-03 |
| 1770125049 | Ally Lactation LLC | Registered Nurse | 9901 N May Ave Ste 110, Oklahoma City, OK 73120-2734 | 2019-10-08 |
| 1053897090 | Amy Rae Campbell | Registered Nurse | 3300 Nw Expressway, Oklahoma City, OK 73112-4999 | 2018-07-12 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
Please comment or provide details below to improve the information on MRS. CODY BLACKMON.
| 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.