Active NPI
Vicki Blackwell Christian, LPN
- Licensed Practical Nurse
- Fayetteville, NC
National Provider Identifier
1851461693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 051503
- Practice address
- 1248 Fort Bragg Rd
Fayetteville, NC 28305 - Phone
- (910) 323-0334
- NPI assigned
- Nov 9, 2006
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 051503 | NC | Primary |
Addresses
Primary practice location
1248 Fort Bragg Rd
Fayetteville, NC 28305
Mailing address
3294 Alforodo Street
Fayetteville, NC 28306
Phone (910) 423-8969
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051503 | Other | NC | NC BOARD OF NURSING |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051503 | NC | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851461693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3294 ALFORODO STREET",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28306",
"telephone_number": "910-423-8969",
"fax_number": "910-323-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1248 FORT BRAGG RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28305",
"telephone_number": "910-323-0334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIAN",
"first_name": "VICKI",
"middle_name": "BLACKWELL",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NC",
"license": "051503",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC BOARD OF NURSING",
"identifier": "051503",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.