Alfreda D. Blackshear, M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME40463 Issued in FL

Legal business name

ALFREDA D. BLACKSHEAR, M.D.

Practice address

1215 Lee Ave
Tallahassee, FL 32303-5850

Phone

(850) 878-0229

Fax

(850) 942-5837

NPI assigned

Feb 12, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alfreda D Blackshear, M.D.NPI 1982714507

Title

Owner

Phone

(850) 878-0229

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alfreda Douglane Blackshear, MD

  • Pediatrics Physician
  • Tallahassee, FL
  • NPI 1982714507
  NPD (past) Authorized official
• Aisha Donine Bailey, D.O.

  • Pediatrics Physician
  • Tallahassee, FL
  • NPI 1750645255
  NPD (past)

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1861883753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 LEE AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035850",
            "telephone_number": "850-878-0229",
            "fax_number": "850-942-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035850",
            "telephone_number": "850-878-0229",
            "fax_number": "850-942-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFREDA D. BLACKSHEAR, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "BLACKSHEAR",
        "authorized_official_first_name": "ALFREDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-878-0229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME40463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066873700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonardo Cruz Alexandre, MD
• Isabel Alfonso, PH.D.
• Julian R Alford Jr., O.D.
• Kaylee Harrell Alford, CF- SLP
• Taylor Mackenzie Alford, M.S.
• Alfredo Nova PA
• Angela Algabri, NP
• Samantha Algaze, BCBA
• Alaa Alhemyari, MS, RD, LDN
• Ziad Alhumayyd, M.D.

• Primary Care Clinic/Center in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.