Savannah Blackwell, NP

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

907541 Issued in MS

Practice address

100 Washington Ave S Ste 1210
Minneapolis, MN 55401-2104

Phone

(228) 218-5023

NPI assigned

Jul 1, 2025

Last updated

Jul 1, 2025By the provider in NPPES

Sex

Female

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

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1558250746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 FIELDWORTH RD",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "395627201",
            "telephone_number": "228-218-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASHINGTON AVE S STE 1210",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012104",
            "telephone_number": "228-218-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "SAVANNAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MS",
            "license": "907541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Denise Blackmon, N.P.
• Emily Blacksher, PT, DPT
• Kristine Ann Blackstone, LMFT
• Natalia Mary Blackstone
• Charles D Blackwell III, MD
• Kanapali Camilla Blackwood
• Nicole P Blackwood, CRNP
• Amanda Marie Blaede-Guiliano, MSW, LICSW
• Anne Hudson Blaes, M.D.
• Michelle M Blaeser, MD

• General Practice Registered Nurse in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• General Practice Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.