Diana Lynn Blair, FNP-C
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Clarkson, KY
NPI 1508844002 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1508844002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 3002584 (KY)
- Practice address
- 619 W Main St
Clarkson, KY 42726-7044 - Phone
- (502) 287-4000
- NPI assigned
- Jan 4, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110726000614 | KY | Order and Referring Only - Nurse Practitioner | 3870761448 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP2584 | KY | MD | Family Nurse Practitioner |
| 3002584 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3002584 | KY | Yes |
| Family Nurse Practitioner | 363LF0000X | ARNP2584 | KY |
Addresses
Primary practice location
619 W Main St
Clarkson, KY 42726-7044
Mailing address
800 Zorn Ave
Louisville, KY 40206-1433
Phone (502) 287-4000
Other providers in Clarkson, KY
- Vanda Shea Aubrey
- Melissa J Baker
- Deborah Beville
- Jenna Bratcher
- Brightview LLC
- Mahalie Cain
- Clarkson Clinic, PLLC
- Clarkson Diabetic Shoes & More, LLC
All providers in Clarkson, KY · Psychiatric/Mental Health Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.