John B Blackhart, RN
Individual provider Active NPI Critical Care Medicine Registered Nurse · Oklahoma City, OK
NPI 1467280693 · NPPES record last updated Jul 22, 2024
Key facts
- NPI
- 1467280693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine Registered Nurse 163WC0200X
- License
- R0135144 (OK)
- Practice address
- 4300 W Memorial Rd
Oklahoma City, OK 73120-8304 - Phone
- (405) 752-3715
- NPI assigned
- Jul 22, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0135144 | OK | MD | Critical Care Medicine Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | R0135144 | OK | Yes |
Addresses
Primary practice location
4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Mailing address
125 Meadow LN
Chandler, OK 74834-8786
Phone (405) 397-1664
Other providers in Oklahoma City, OK
- Chad L Blackburn
- Clare Ellen Blackburn
- Josie Cocannouer Blackburn
- Karen Ann Blackburn
- Piers R Blackett
- Desjea Taylor Blackman
- Cody Blackmon
- Danisha Leann Blackmon
- David G Blackshaw
- Devynna Gayle Blackwelder
All providers in Oklahoma City, OK · Critical Care Medicine Registered Nurse in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.