John B Blackhart, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

R0135144 Issued in OK

Practice address

4300 W Memorial Rd
Oklahoma City, OK 73120-8304

Phone

(405) 752-3715

NPI assigned

Jul 22, 2024

Last updated

Jul 22, 2024By the provider in NPPES

Sex

Male

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1467280693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MEADOW LN",
            "city": "CHANDLER",
            "state": "OK",
            "postal_code": "748348786",
            "telephone_number": "405-397-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208304",
            "telephone_number": "405-752-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKHART",
        "first_name": "JOHN",
        "middle_name": "B",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OK",
            "license": "R0135144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad L Blackburn, DDS
• Clare Ellen Blackburn, LPC, LMFT
• Josie Cocannouer Blackburn, PT, DPT
• Karen Ann Blackburn, IBCLC,RLC
• Piers R Blackett, MD
• Desjea Taylor Blackman
• Cody Blackmon
• Danisha Leann Blackmon, MSW
• David G Blackshaw, M.D.
• Devynna Gayle Blackwelder, SLP-A

• Critical Care Medicine Registered Nurse in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Critical Care Medicine Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.