Active NPI
Johnnie Blackburn
- Family Nurse Practitioner
- Tallahassee, FL
National Provider Identifier
1760351944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11043245
- Practice address
- 3520 Epsey Allen LN
Tallahassee, FL 32310-8257 - Phone
- (773) 459-9912
- NPI assigned
- Nov 4, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11043245 | FL | Primary |
Addresses
Primary practice location
3520 Epsey Allen LN
Tallahassee, FL 32310-8257
Mailing address
3520 Epsey Allen LN
Tallahassee, FL 32310-8257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260110000220 | FL | Order and Referring Only - Nurse Practitioner | 0345726261 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
201 S Biscayne Blvd
Suite 400
Miami, FL 33131-4300
2852 Remington Green Cir
Suite 101And102
Tallahassee, FL 32308-8710
3046 S Corporate Way
Miramar, FL 33025-6547
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11043245 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766102400000",
"number": "1760351944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 EPSEY ALLEN LN",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323108257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 EPSEY ALLEN LN",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323108257",
"telephone_number": "773-459-9912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKBURN",
"first_name": "JOHNNIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-04",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11043245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.