NPI profile
ANNESSA BLACKMUN
NPI record status, taxonomy, official source timestamp, and OIG LEIE screening context.
Identity
- NPI
- 1538321047
- Entity type
- NPI-1
- Primary taxonomy
- 213ES0103X
- NPI source updated
- Mar 29, 2017
- Enumeration date
- Jun 26, 2008
- Cache fetched
- May 05, 2026
NPI does not validate licensure, credentialing, Medicare enrollment, or current practice authority.
OIG LEIE screening
excludedConfidence: high
Exact OIG exclusion match by NPI.
NPI addresses
| Purpose | Address | Phone |
|---|---|---|
| MAILING | 3149321570 | |
| LOCATION | 7737700140 |
FAQ
Practical notes
Does an NPI record validate licensure?
No. NPI data does not validate licensure, credentialing, Medicare enrollment, or current practice authority.