Elisabeth Blackwood, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP91070 Issued in ME

Practice address

246 Walnut St
Suite 104
Newton, MA 02460-1689

Phone

(617) 244-3322

NPI assigned

Oct 20, 2009

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1164758579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 AUBURN RD",
            "city": "TURNER",
            "state": "ME",
            "postal_code": "042823426",
            "telephone_number": "207-224-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 WALNUT ST",
            "address_2": "SUITE 104",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601689",
            "telephone_number": "617-244-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWOOD",
        "first_name": "ELISABETH",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP91070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magen Bissell, NP
• Susan Bitensky, LICSW
• Ella Brooke Bitterman
• Abigail B Blackburn, PSY.D.
• Ymari Blackmon
• Bladder Health Associates, L.L.C.
• Hannah Mae Blais
• Samantha Marie Blais, NP
• Abigail Bliss, WHNP-BC
• Caroline C Block, MD

• Family Nurse Practitioner in Newton, MA
• Providers in Newton, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.