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Active NPI 1366769820 Individual Practitioner Female Practitioner

Susan V Blackmore , CPNP

Nurse Practitioner - Pediatrics • Plainview, NY

Professional Overview & Biography Verified Profile Summary

Susan Blackmore, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Plainview, NY. Practice services are available at 146 MANETTO HILL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

146 Manetto Hill Rd

Plainview, NY 118031308

Telephone 5169312200
Associated Practice Facility / Clinic
🏢 Paul M.grappell,m.d.,james T.walker,m.d.,p.c. Facility NPI 1821081373

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Plainview, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
9 Specialists

Practicing in Plainview, NY (1823 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License NY 382100

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1316948763

Doctor of Medicine (M.D.)

Maria Bune , PNP

Nurse Practitioner - Pediatrics

NPI 1932496817

Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active April 23, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2010

Registered at 146 MANETTO HILL RD, PLAINVIEW, NY 118031308 (Tel: 5169312200)

📍
Updated Business Mailing Address April 23, 2010

Registered at 146 MANETTO HILL RD, PLAINVIEW, NY 118031308 (Tel: 5169312200)

👤
Provider Name / Credentials Updated April 23, 2010

Recorded as SUSAN BLACKMORE, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2010

Nurse Practitioner (License #382100 in NY)

🟢
Initial NPI Registration & Enumeration April 23, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1366769820
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2010
Last Update: April 23, 2010
Sole Proprietor: No
Update or Correct Profile

Mailing Address

146 Manetto Hill Rd

Plainview, NY 118031308

Phone: 5169312200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.