JEFFREY S. BLACKWELL – NPI #1831167451
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

JEFFREY BLACKWELL is a physician located in EVERETT, WA. NPPES has assigned the NPI number 1831167451 to JEFFREY BLACKWELL on March 09, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Jul 31, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFREY BLACKWELL below.

NPI Profile for
JEFFREY S. BLACKWELL

NPI Number
1831167451
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JEFFREY S. BLACKWELL
Primary location
3927 RUCKER AVE
EVERETT, WA 98201-4833
Phone: (425) 339-5422 Fax: (425) 339-5444
1 Other location(s):
1818 121st St SE
Everett, WA 98208-5985
Phone: (425) 357-3304
Mailing address
PO BOX 5127
EVERETT, WA 98206-5127
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Jul 31, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JEFFREY BLACKWELL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA1020053
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
WA 29693

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.