MRS. TARA RENE BLACKWELDER NP-C NPI 1831526557

NPI Information

  • NPI: 1831526557
  • Provider Name: MRS. TARA RENE BLACKWELDER, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2501 CAPEHART RD
    OFFUTT AFB, NE
    ZIP 68113
  • Phone: (402) 294-6033

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NPI Details

MRS. Tara Rene Blackwelder, NP-C is a family nurse practitioner in Offutt Afb, NE with 10 years of experience. MRS. Tara Rene Blackwelder, NP-C NPI is 1831526557. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2501 CAPEHART RD
OFFUTT AFB, NE
ZIP 68113-043
Phone: (402) 294-6033

The NPI 1831526557 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/27/2013 and was last updated on 7/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAP8238ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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