Mariah Denise Blackwell, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

2865 E Main St
Humboldt, TN 38343-3070

Phone

(721) 784-8405

NPI assigned

Jan 18, 2024

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

• Mariah Denise Blackwell Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 16, 2026.

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1780445585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MARTIN RD",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383585524",
            "telephone_number": "731-414-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 E MAIN ST",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433070",
            "telephone_number": "721-784-8405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29639 Broad St",
            "address_purpose": "LOCATION",
            "city": "Bruceton",
            "state": "TN",
            "postal_code": "383172203",
            "country_code": "US",
            "telephone_number": "925-727-3712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "MARIAH",
        "middle_name": "DENISE",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "BLACKWELL",
            "middle_name": "DENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Humboldt, TN
• Nurse's Aide in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.

Verify at the official NPI Registry.