Heather Shaw Blankenship, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-135575 Issued in AL

Practice address

1050 Chemstran Ave
Decatur, AL 35601-8900

Phone

(256) 552-2522

Fax

(256) 585-6426

NPI assigned

Feb 3, 2022

Last updated

Apr 28, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1437802980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CHEMSTRAN AVE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356018900",
            "telephone_number": "256-552-2522",
            "fax_number": "256-585-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CHEMSTRAN AVE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356018900",
            "telephone_number": "256-552-2522",
            "fax_number": "256-585-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "HEATHER",
        "middle_name": "SHAW",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-135575",
            "primary": true
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "AL",
            "license": "1-135575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Blackwood, RN
• Kaitlyn Blagburn, BA
• Logan Chandler Blake, PT, DPT
• Morgan Taylor Blake, PT, DPT
• De Etta Lynn Blakenship
• Hannah Blevins, PHARMD
• Casey Bodkin
• Julia Boehme
• Catalia Bolden
• Christian Bolden, DPT

• Family Nurse Practitioner in Decatur, AL
• Providers in Decatur, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.