Katelyn Blackmon, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

259154 Issued in AZ

Practice address

1210B Medical Arts Blvd
Anderson, IN 46011-3435

Phone

(765) 563-2843

NPI assigned

Aug 3, 2021

Last updated

Apr 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in IN

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empowerher Women's Care Clinic

  • Women's Health Nurse Practitioner
  • McCordsville, IN
  • NPI 1902662406

  Single Specialty

  NPD Authorized official
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692

  Single Specialty

  NPD (past)
• Adelante Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mesa, AZ
  • NPI 1891853446
  NPD (past)

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1902570088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8038 N 600 W STE 100",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "460558605",
            "telephone_number": "317-932-3426",
            "fax_number": "855-631-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210B MEDICAL ARTS BLVD",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113435",
            "telephone_number": "765-563-2843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8038 N 600 W Ste 100",
            "address_purpose": "LOCATION",
            "city": "McCordsville",
            "state": "IN",
            "postal_code": "460558605",
            "country_code": "US",
            "telephone_number": "317-932-3426",
            "fax_number": "855-631-0165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKMON",
        "first_name": "KATELYN",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "259154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon M Binkerd, LCSW
• Bio-Medical Applications of Indiana, Inc. (Fresenius Kidney Care Anderson North)
• Bio-Medical Applications of Indiana, Inc. (Fresenius Medical Care Anderson)
• Jared Bishop, PHD
• Megan Bishop, PA
• Cra' Nisha Lynn Blair, RBT
• Larry L Blankenship Jr., MD
• Ronald J Blevins, MD
• Elvis Boamah, PHARMD
• Jessica D Bode

• Women's Health Nurse Practitioner in Anderson, IN
• Providers in Anderson, IN by specialty
• Women's Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.