Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kia R Blackman

Individual provider Gerontology Nurse Practitioner · NPI 1386323160

Kia R Blackman is a Nurse Practitioner in Plantation, Florida. Qualified in 2022, 4 years ago. Practices with Spencer J Hardenbrook MD PC, a 93-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2023
Specialties on file
2

Practice location Address checks out

8320 W Sunrise Blvd Ste 208
Plantation, FL 33322-5432
Phone: (800) 640-3451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 11025598 (FL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 11025598 (FL)

Record details

NPI number1386323160
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 18, 2023
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Spencer J Hardenbrook Md Pc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Plantation