Christopher Wright Blackwell, PHD, ARNP-C

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

ARNP9168694 Issued in FL

Practice address

308 E Hazel St
Orlando, FL 32804-4023

Phone

(407) 895-9060

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

Yes

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

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pulmonary Medicine Associates, P.a. 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles (3 of 5)

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DAFCDA/Endpoint/DAFCDA

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

• Pulmonary Medicine Associates, P.a.

  • Pulmonary Disease Physician
  • Ocoee, FL
  • NPI 1023256062

  FL

  Medicare reassignment Care Compare group NPD
• Pulmonary Medicine Associates

  • Pulmonary Disease Physician
  • Ocoee, FL
  • NPI 1730255787
  NPD
• Patrick G Fairchild MD PA

  • Infectious Disease Physician
  • Clermont, FL
  • NPI 1457410383
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316091002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14625 UNBRIDLED DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328266508",
            "telephone_number": "507-375-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E HAZEL ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044023",
            "telephone_number": "407-895-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "WRIGHT",
        "name_prefix": "Dr.",
        "credential": "PHD, ARNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "ARNP9168694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Luv Blackmer Robinson, APRN
• Tori Blackshear, BA
• Mackenzie Michaels Blackstock, DO
• John Michael Blackston, LMHC
• Bruce Blackwell, M.D.
• Melanie Ellen Blackwell, MA,LMHC,NCC
• Megan Blade
• Pamela Jiselle Blade, O.D.
• Jessica Marie Blades, LMHC
• Kylie Blahut

• All providers in Orlando, FL
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.