Active NPI
Misty Blackwell
- Driver
- Grand Junction, CO
National Provider Identifier
1679404313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 571 25 Rd Ste 520
Grand Junction, CO 81505-1303 - Phone
- (970) 654-0511
- NPI assigned
- May 28, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Driver | 172A00000X | CO | Primary |
Addresses
Primary practice location
571 25 Rd Ste 520
Grand Junction, CO 81505-1303
Mailing address
4649 W Rd
De Beque, CO 81630-9604
Phone (970) 773-1952
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1679404313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4649 W RD",
"city": "DE BEQUE",
"state": "CO",
"postal_code": "816309604",
"telephone_number": "970-773-1952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "571 25 RD STE 520",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815051303",
"telephone_number": "970-654-0511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKWELL",
"first_name": "MISTY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-28",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.