Sandra Blackwood, CD

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

3881 Groton St Unit 3
San Diego, CA 92110-5632

Phone

(619) 261-1357

NPI assigned

Aug 16, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sandy Blackwood Professional name

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": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1396528931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3881 GROTON ST UNIT 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105632",
            "telephone_number": "619-261-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3881 GROTON ST UNIT 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105632",
            "telephone_number": "619-261-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWOOD",
        "first_name": "SANDRA",
        "credential": "CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDY",
            "last_name": "BLACKWOOD",
            "credential": "CD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christopher Martin Blackwell, MD
• Johnny Blackwell Jr., A.A.
• Sandra Lynn Blackwell, RRT
• Tori Breanne Blackwell, MOT, OTR/L
• Samuel Austin Blackwood, CADC, CAS
• Allison Blacutt, DACM. L.AC
• Miguel Angel Blacutt, MD
• Kent Alan Blade, M.D.
• Paige Blades Hanley
• Richard W Bladh, LMFT

• Doula in San Diego, CA
• Providers in San Diego, CA by specialty
• Doula in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.