Active NPI
Jean L Blackman, RN
- Registered Nurse
- Darlington, SC
National Provider Identifier
1609116730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 23059
- Practice address
- 102 Park St
Darlington, SC 29532-3124 - Phone
- (843) 398-2293
- Fax
- (843) 398-5001
- NPI assigned
- Feb 27, 2013
- Last updated
- Feb 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 23059 | SC | Primary |
Addresses
Primary practice location
102 Park St
Darlington, SC 29532-3124
Mailing address
102 Park St
Darlington, SC 29532-3124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23059 | SC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darlington County School District | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Darlington, SC
- NPI 1982776472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1609116730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 PARK ST",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "295323124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 PARK ST",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "295323124",
"telephone_number": "843-398-2293",
"fax_number": "843-398-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKMAN",
"first_name": "JEAN",
"middle_name": "L",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-27",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "23059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Darlington, SC
- Bethea Senior Care LLC (Bethea Health Care Center)
- Billie Hardee Home for Boys
- Billie Hardee Home for Boys
- Billie Hardee Home for Boys
- Bio-Medical Applications of South Carolina, Inc. (Fresenius Medical Care Darlington)
- Sara Harling Boulware, PHARMACIST
- Shannon McDowell Bowen, NP-C
- Pamela Garner Bowman
- Monica S Brand, CCC,SLP
- Breakthrough Pediatric Rehabilitation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.