Rachel Ann Blackford
Nurse Practitioner, Family in Cedar Rapids, IA. Individual provider (NPI-1).
NPI number1720567407
StatusActive
Last updated in NPPESAug 13, 2018
Details
- NPI
- 1720567407
- Entity type
- Individual (NPI-1)
- Name
- Rachel Ann Blackford
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2018
- Last updated
- Aug 13, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | A118718 | IA | Yes |
Practice location
1630 42nd St Ne Ste FCedar Rapids, IA 52402-3063
Phone 319-261-1379
Mailing address
825 Palmyra Dr NeCedar Rapids, IA 52402-6590
Phone 908-902-5074
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 131 Family Nurse Practitioner providers in Cedar Rapids · All 3,889 providers in Cedar Rapids
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