Amy Jo Blackford, MS

Primary specialty

ContractorTaxonomy code 171W00000X

License

676646961 Issued in NY

Practice address

15 S Pine Ave
Albany, NY 12208-2212

Phone

(518) 369-7398

Fax

(518) 446-0543

NPI assigned

Oct 21, 2008

Last updated

Oct 21, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1306098314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S PINE AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122082212",
            "telephone_number": "518-369-7398",
            "fax_number": "518-446-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S PINE AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122082212",
            "telephone_number": "518-369-7398",
            "fax_number": "518-446-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKFORD",
        "first_name": "AMY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": "676646961",
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": "676645961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Bjurstrom, FNP
• Black Nurses Coalition, Inc
• Jolunda Black-Johnson
• Nathaniel Ryan Black
• Whitney Black
• Joann Blair, RN
• Lauren Judith Blair, NP
• Michelle Marie Blair, CCC-SLP
• Supriya Blair, PSYD
• Megan Blake

• Contractor in Albany, NY
• Providers in Albany, NY by specialty
• Contractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.