Lynne Blackwell, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95003706 Issued in CA

Practice address

1484 E Main St
Ventura, CA 93001-3201

Phone

(805) 657-9822

NPI assigned

Feb 4, 2016

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1851759880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 THILLE ST STE 103",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035492",
            "telephone_number": "805-657-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 E MAIN ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013201",
            "telephone_number": "805-657-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "LYNNE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95003706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kattya Birruete-Ortega
• Megan Tanneke Bisbee
• Christina Kay Bjornstedt, MFT
• Brina Rylie Blackman
• Debra Gail Blackwell-Schrag, MS, LMFT
• Clyde Amel Blair III, LMFT
• Shana Danbi Blair
• Brenn Ashton Blaisdell
• Debbie Lynn Blaney
• Blayne Robinson Liparoto

• Adult Health Nurse Practitioner in Ventura, CA
• Providers in Ventura, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.