Blackwell Nursing Services LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

BLACKWELL NURSING SERVICES LLC

Practice address

19 Clairmont Circle
Laurel, MS 39440

Phone

(601) 342-2021

Fax

(601) 342-2714

NPI assigned

Apr 9, 2021

Last updated

Apr 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Smith

Title

Owner

Phone

(601) 342-2021

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1225618713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2276",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "39442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CLAIRMONT CIRCLE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "39440",
            "telephone_number": "601-342-2021",
            "fax_number": "601-342-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKWELL NURSING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-342-2021"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth A. Bergin, MS,CCC-SLP
• Jeanna Berkey, PA-C
• Erica T Bishop, LPN
• Kelly Bisnette, R N
• David S Black, CMHT
• Dorita Jane Blair, APRN
• Thomas Harold Blake Jr., M.D.
• Danielle D. Blakeney, M. D.
• Lacey Blakeney, NP-C
• Ramsi D Blankenship, DO

• Licensed Practical Nurse in Laurel, MS
• Providers in Laurel, MS by specialty
• Licensed Practical Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.