Michelle Blackwood

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

9422059 Issued in FL

Practice address

1771 State Road 20
Hawthorne, FL 32640

Phone

(740) 605-0856

NPI assigned

Aug 14, 2024

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1497587935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 STATE ROAD 20",
            "city": "HAWTHORNE",
            "state": "FL",
            "postal_code": "32640",
            "telephone_number": "740-605-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 STATE ROAD 20",
            "city": "HAWTHORNE",
            "state": "FL",
            "postal_code": "32640",
            "telephone_number": "740-605-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWOOD",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "9422059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Ghalib Jaafar Azzawi
• Hailee Banks, M.D.
• Brittany Baxley, LMT
• Best Care Transport Inc
• Bio Medical Applications of Florida, Inc
• Brian Scott Brooks, PA
• Celtic Enterprize Inc
• Celtic Enterprize Inc
• Tynnatta Chess, AGENCY/GROUP
• Joseph J Ciccio, PT

• All providers in Hawthorne, FL
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.