Kurt Neal Blackman, DNP, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9166835 Issued in FL

Practice address

9544 C 476B
Bushnell, FL 33513-8612

Phone

(352) 568-4610

NPI assigned

Aug 12, 2005

Last updated

Jun 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: kblackman296365@direct.tgh.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paragon Emergency Services LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1912101650

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• FL-I Medical Services, LLC

  • Nurse Practitioner
  • Fort Pierce, FL
  • NPI 1750655106
  Medicare reassignment NPD
• Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
  • NPI 1184040560
  Medicare reassignment NPD
• Total Care Plus LLC

  dba Total Care Plus

  • Urgent Care Clinic/Center
  • Brooksville, FL
  • NPI 1376069948
  Medicare reassignment NPD
• W4P LLC

  dba Hernando County Emergency Physicians

  • Emergency Medicine Physician
  • Spring Hill, FL
  • NPI 1689116618
  Medicare reassignment NPD
• FL-I Medical Services LLC

  • Physician Assistant
  • Haines City, FL
  • NPI 1285356790

  Nurse Practitioner

  NPD
• FL-I Medical Services, LLC

  • Emergency Medicine Physician
  • Live Oak, FL
  • NPI 1053982306
  NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Mobile Medical Industries Inc

  dba AllianceCare

  • Primary Care Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1528019247
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1306848973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9408 US 19",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346521146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9544 C 476B",
            "city": "BUSHNELL",
            "state": "FL",
            "postal_code": "335138612",
            "telephone_number": "352-568-4610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7381 114th Ave",
            "address_2": "403B",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337735131",
            "country_code": "US",
            "telephone_number": "727-489-0175",
            "fax_number": "727-489-0178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "KURT",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "ARNP9166835",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9166835",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9166835",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9166835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Symlene Alummoottil
• Amy's Caring Hands
• Deonna Andrews, PHARM.D.
• Annalice LLC (Pegasus Rx Pharmacy)
• Shannon Lee Jett Berry, MA, CCC-SLP
• Kattia Blanco, MD
• Blessed at Home LLC
• Mary Hyacinth Bodenheimer, NURSE PRACTITIONER-C
• Ronnie-Jane Boekema, ARNP
• Allison Bootz, MS, LAT, ATC

• Family Nurse Practitioner in Bushnell, FL
• Providers in Bushnell, 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 Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.