NPI
Nicole Blackwell
NPI 1366802704
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- COTA/L
- Type
- Individual
- Enumeration date
- 2016-02-27
- Last updated
- 2016-02-27
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Specialties
Licenses
- License NC
- 9777
Location
- Practice location
- 815 Wentworth Dr NE
- City
- Concord NC
- Postal code
- 28025-7812
- Phone
- (704) 796-2850
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Concord, NC. 4,519 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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