Kaydi Blackstock, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL24468 Issued in FL

Practice address

7200 Lawton Chiles LN
Tallahassee, FL 32312

Phone

(850) 583-4480

NPI assigned

May 18, 2016

Last updated

Jul 31, 2018By 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

State licenses

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1568819753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 LAWTON CHILES LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323120956",
            "telephone_number": "850-583-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 LAWTON CHILES LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32312",
            "telephone_number": "850-583-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSTOCK",
        "first_name": "KAYDI",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL24468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Blackburn
• Jadae A Blackmon
• Jimmie M Blackmon
• John A Blackmon, M.D.
• Alfreda Douglane Blackshear, MD
• Christine Jewell Blades, LMT
• Heidi Blair, APRN
• Blair's Counseling Service
• Ashlee Marie Blake, FNP-BC
• Camille Jeanette Blake, D.O.

• Athletic Trainer in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.