Katriena Lashaun Blackman, L.V.N.

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

196120 Issued in TX

Practice address

3330 Lancaster Road
Dallas
Dallas, TX 75216-4545

Phone

(214) 371-6639

Fax

(214) 372-6199

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265656987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 EAGLE RIVER TRL",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751464922",
            "telephone_number": "214-371-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 LANCASTER ROAD",
            "address_2": "DALLAS",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752164545",
            "telephone_number": "214-371-6639",
            "fax_number": "214-372-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "KATRIENA",
        "middle_name": "LASHAUN",
        "name_prefix": "Ms.",
        "credential": "L.V.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "196120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond C Blackburn, MD
• Steven Blackburn, D.D.S
• Blackett & Smith PLLC
• Tashya A Blacklock, PA
• Blair Blackman, RN, CPNP
• Tierra Elonda Blackmon
• Veshawn Blackshire, ATC
• Blackwell Chiropractic LLC
• Angelica Maria Blackwell
• Cassie Lyn Blackwell, FNP

• Licensed Vocational Nurse in Dallas, TX
• Providers in Dallas, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.