Tricia Blackwood

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

60031308 Issued in WA

Practice address

1519 W Knox Ave
Spokane, WA 99205-4367

Phone

(509) 703-8235

NPI assigned

Jan 20, 2021

Last updated

Jan 20, 2021By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1902496219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402227101",
            "telephone_number": "502-627-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 W KNOX AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992054367",
            "telephone_number": "509-703-8235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 N Whittington Pkwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402227101",
            "country_code": "US",
            "telephone_number": "502-627-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKWOOD",
        "first_name": "TRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "60031308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tricia.blackwood@pharmerica.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1519 W Knox Ave",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992054367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Blackman Child and Family Counseling (Gold Creek Child and Family Counseling)
• Corey J Blackman
• Laura J Blackorby, LSWAIC
• Whitney R Blackwell, LMP
• Jessica Blackwood, BS
• Bladder-Works, Inc.
• Blaine Bart Therapy (Resonance Counseling)
• Blaine Mental Health Counseling, PLLC
• Berkley Faith Blair, STUDENT
• Casey B Blair

• Licensed Practical Nurse in Spokane, WA
• Providers in Spokane, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.