Cody Blackmon

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

272468 Issued in TN

Practice address

9901 N May Ave Ste 110
Oklahoma City, OK 73120-2734

Phone

(405) 849-5624

NPI assigned

Nov 28, 2016

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 3, 2024.

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1487197232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 HIWASSEE DR",
            "city": "DECATUR",
            "state": "TN",
            "postal_code": "373226033",
            "telephone_number": "405-406-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 N MAY AVE STE 110",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731202734",
            "telephone_number": "405-849-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMON",
        "first_name": "CODY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2024-12-03",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TN",
            "license": "272468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josie Cocannouer Blackburn, PT, DPT
• Karen Ann Blackburn, IBCLC,RLC
• Piers R Blackett, MD
• John B Blackhart, RN
• Desjea Taylor Blackman
• Danisha Leann Blackmon, MSW
• David G Blackshaw, M.D.
• Devynna Gayle Blackwelder, SLP-A
• Alisha Lachelle Blackwell, LADC
• Cecilia Monique Blackwell

• All providers in Oklahoma City, OK
• Lactation Consultant (Registered Nurse) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.