Robin Newby Blackwell

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL001184 Issued in NC

Practice address

509 Fernway Dr
Burlington, NC 27217-8850

Phone

(336) 270-4463

Fax

(336) 897-7564

NPI assigned

Jul 15, 2015

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blackwell'S Community Living LLC

  • Community/Behavioral Health Agency
  • Burlington, NC
  • NPI 1598068900
  NPD Authorized official
• Blackwell'S Community Living

  • Mental Illness Community Based Residential Treatment Facility
  • Pleasant Garden, NC
  • NPI 1033595988
  NPD (past) Authorized official

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1740664192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 FERNWAY DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272178850",
            "telephone_number": "336-270-4463",
            "fax_number": "336-897-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 FERNWAY DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272178850",
            "telephone_number": "336-270-4463",
            "fax_number": "336-897-7564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5118 Foxview Dr",
            "address_purpose": "LOCATION",
            "city": "Pleasant Garden",
            "state": "NC",
            "postal_code": "273139572",
            "country_code": "US",
            "telephone_number": "336-317-1926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "ROBIN",
        "middle_name": "NEWBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL001184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew David Bissell, NCC, LPC
• Gayla Renee Bivens, D.D.S.
• BJ'S Wholesale Club Inc.
• Hailey Nicole Blackburn, PT
• Melanie Crain Blackwell
• Blackwell'S Community Living
• Blackwell'S Community Living LLC
• Blackwell'S Community Living LLC
• Melissa Kathleen Blake, D.M.D
• Nathaniel Allen Blake, CFBPPC, LCAS

• Community/Behavioral Health Agency in Burlington, NC
• Providers in Burlington, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.