Carmen L Blackshear, HOME HEALTH AID

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

2024 S Rowen
Mesa, AZ 85209-6209

Phone

(480) 786-4986

Fax

(480) 786-4986

NPI assigned

Mar 1, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1134469059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 N ARROWHEAD DRIVE APT 1",
            "address_2": "FMI SERVICES LLC",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243590",
            "telephone_number": "480-786-4986",
            "fax_number": "480-786-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 S ROWEN",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096209",
            "telephone_number": "480-786-4986",
            "fax_number": "480-786-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSHEAR",
        "first_name": "CARMEN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "HOME HEALTH AID",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy E Black, MD
• Blackbird Senior Living, Inc.
• Patrick Wayne Blackburn, MD
• Jared Blacker, DDS
• Davona D Blackhorse, LAC
• Maria Elaine Blahut
• Jackie Lynn Blair-Merritt, PT
• Debra Lynn Blair
• Julie Blair, LMSW
• Lindsay Deanna Blaire, M.S., CCC-SLP

• Home Health Aide in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Home Health Aide in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.