Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134698921 Individual Practitioner Male Practitioner

Reginald Karl Blackman

Peer Specialist • Tacoma, WA

Professional Overview & Biography Verified Profile Summary

Reginald Blackman is a registered healthcare professional specializing in Peer Specialist in Tacoma, WA. Practice services are available at 5929 WESTGATE BLVD STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5929 Westgate Blvd Ste A

Tacoma, WA 984062567

Telephone 2535030226
Associated Practice Facility / Clinic
🏢 Rainier Internal Medicine Llc Facility NPI 1356716351

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Tacoma, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
151 Specialists

Practicing in Tacoma, WA (2660 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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Linda Box , CDP

Counselor - Addiction (Substance Use Disorder)

NPI 1013497437
Jessica Pendergast

Counselor - Addiction (Substance Use Disorder)

NPI 1285248674
NPI 1437127743

Doctor of Medicine (M.D.), Master of Public Health

Eugena Fisher

Counselor - Addiction (Substance Use Disorder)

NPI 1568868198
Kali Leenstra

Nurse Practitioner - Psychiatric/Mental Health

NPI 1578408118
Nick Bacolod

Counselor

NPI 1831612688

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 21, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2018

Registered at 5929 WESTGATE BLVD STE A, TACOMA, WA 984062567 (Tel: 2535030226)

📍
Updated Business Mailing Address November 21, 2018

Registered at 3800 3RD ST SE, PUYALLUP, WA 983741109 (Tel: 2533047753)

👤
Provider Name / Credentials Updated November 21, 2018

Recorded as REGINALD BLACKMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2018

Peer Specialist

🟢
Initial NPI Registration & Enumeration November 21, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134698921
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2018
Last Update: November 21, 2018
Sole Proprietor: No

Mailing Address

3800 3rd St Se

Puyallup, WA 983741109

Phone: 2533047753

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.