Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MS. WYVON BLACKWELL
Active
Individual
MS. WYVON BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN,FNP-C
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
28180607A
IN
363LF0000X
Family Nurse Practitioner
Primary
209011447
IL
363LF0000X
Family Nurse Practitioner
309007962
IL
363LF0000X
Family Nurse Practitioner
F0214515
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209011447
—
IL
Enumeration date
10/29/2010
Last updated
11/05/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up