Lasonjia Denise Blackmon

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

5202 Mulberry PL
Little Rock, AR 72206-4913

Phone

(501) 772-6073

NPI assigned

Jun 21, 2019

Last updated

Jun 21, 2019By the provider in NPPES

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

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1386205359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 MULBERRY PL",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722064913",
            "telephone_number": "501-240-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 MULBERRY PL",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722064913",
            "telephone_number": "501-772-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMON",
        "first_name": "LASONJIA",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Blackketter
• Blackmon Care Home Care
• Blackmon Chiropractic Clinic, P.a.
• Christopher Royse Blackmon, D.C.
• Jamar Darnell Blackmon, MHPP
• Lonzell Blackmon
• Anna Blackshare
• London Elizabeth Blackwell-Dyer
• Lashay Blackwell, QBHP
• Rhonda Blackwell, MS

• Driver in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Driver in Arkansas

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