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

Mrs. Lisa Lallier Blackwelder, FNP

Individual provider Family Nurse Practitioner · NPI 1396990164

Mrs. Lisa Lallier Blackwelder, FNP is a Nurse Practitioner in Colorado Springs, Colorado. Qualified in 2002, 24 years ago. Accepts Medicare assignment. Licensed in Colorado and Texas.

Years since qualifying
24
Licensed in
CO, TX
In the registry since
2008
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

7610 N Union Blvd Ste 140
Colorado Springs, CO 80920-3894
Phone: (719) 550-1172
Fax: (719) 591-2864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN.0992320-NP (CO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 579092 (TX)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 2022011328 (CO)

Record details

NPI number1396990164
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 20, 2008
Last updated in NPPESJune 3, 2022
Certification dateJune 3, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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