Active NPI
Blackmer Medical, LLC
- Public Health & General Preventive Medicine Physician
- Newport News, VA
National Provider Identifier
1013821206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- Legal business name
- BLACKMER MEDICAL, LLC
- Practice address
- 1030 Loftis Blvd Ste 101
Newport News, VA 23606-2999 - Phone
- (757) 596-7938
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shannon Blackmer
- Title
- Owner
- Phone
- (612) 280-2767
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | NU | Primary |
Addresses
Primary practice location
1030 Loftis Blvd Ste 101
Newport News, VA 23606-2999
Mailing address
11712 Jefferson Ave # 763
Newport News, VA 23606-4406
Phone (612) 280-2767
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Medicine Physician
- Newport News, VA
- NPI 1346314739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790899200000",
"number": "1013821206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11712 JEFFERSON AVE # 763",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064406",
"telephone_number": "612-280-2767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 LOFTIS BLVD STE 101",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236062999",
"telephone_number": "757-596-7938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLACKMER MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A",
"authorized_official_last_name": "BLACKMER",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-280-2767",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.