Sadie Blackwell, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · North Little Rock, AR
NPI 1942857776 · NPPES record last updated Feb 10, 2025
Key facts
- NPI
- 1942857776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 122032 (AR)
- Practice address
- 5521 John F Kennedy Blvd
North Little Rock, AR 72116-6707 - Phone
- (501) 916-9396
- Fax
- (501) 916-9194
- NPI assigned
- Aug 26, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122032 | AR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Well Premier Psychiatric Services | Psychiatric/Mental Health | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 122032 | AR | Yes |
Addresses
Primary practice location
5521 John F Kennedy Blvd
North Little Rock, AR 72116-6707
Mailing address
5521 JFK Blvd
North Little Rock, AR 72116-6707
Phone (501) 916-9396
Other providers in North Little Rock, AR
- Luanne Birch
- Derek Alan Birginske
- Maggie T Bishop
- Jason Bittle
- Erika Kay Black
- Blacsheep Family and Autism
- Luvenia Blair
- Jessica Virginia Bland
- Shalae Nicole Bland
- Michael Lane Blanscet
All providers in North Little Rock, AR · Psychiatric/Mental Health Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.