Heidi Blair, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9495268 Issued in FL

Practice address

1201 Hays St
Tallahassee, FL 32301-2699

Phone

(800) 370-3651

Fax

(877) 515-7147

NPI assigned

Aug 2, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1295736148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEMORIAL DR",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549231243",
            "telephone_number": "920-361-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HAYS ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323012699",
            "telephone_number": "800-370-3651",
            "fax_number": "877-515-7147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 Preston Ln",
            "address_purpose": "LOCATION",
            "city": "Redgranite",
            "state": "WI",
            "postal_code": "549709350",
            "country_code": "US",
            "telephone_number": "920-566-0637",
            "fax_number": "920-566-0645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "HEIDI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "112246-030",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2316-033",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9495268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41184300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jimmie M Blackmon
• John A Blackmon, M.D.
• Alfreda Douglane Blackshear, MD
• Kaydi Blackstock, ATC, LAT
• Christine Jewell Blades, LMT
• Blair'S Counseling Service
• Ashlee Marie Blake, FNP-BC
• Camille Jeanette Blake, D.O.
• Fitz Blake Jr.
• Kai Danare Blake, DPT

• Family Nurse Practitioner in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.