Latanyua Blackwell, DNP, FNP-BC, NRCME

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP-02941 Issued in NM

Practice address

8226 Menaul Blvd NE # 206
Albuquerque, NM 87110-4614

Phone

(877) 629-6454

Fax

(505) 212-0385

NPI assigned

Oct 14, 2015

Last updated

Nov 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other names 1

• Dr. Latanyua Blackwell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1881065001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8226 MENAUL BLVD NE # 206",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104614",
            "telephone_number": "877-629-6454",
            "fax_number": "505-212-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8226 MENAUL BLVD NE # 206",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104614",
            "telephone_number": "877-629-6454",
            "fax_number": "505-212-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "LATANYUA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC, NRCME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R178174",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "69311",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350752",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02941",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "CNP-02941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATANYUA",
            "last_name": "BLACKWELL",
            "prefix": "DR.",
            "credential": "DNP, FNP-BC, NRCME",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jazmine Blackwater
• Catherine Blackweldeer
• Claire Blackwell
• Haley Blackwell, RN
• Jay Blackwell, MA, LPCC
• Meredith Ann Blackwell, MS
• Robin L Blackwell, LISW
• Sarah Blackwell, LCSW
• Scott L Blackwell, PHD
• Daniel Kyle Blackwood, LPCC

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.