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

Nataiya Blackmon

Individual provider Meals Provider · NPI 1134040199

Nataiya Blackmon is a Meals Provider in Rolla, Missouri. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1106 Laguille Ct
Rolla, MO 65401-3440
Phone: (948) 204-0694
Show map & directions

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

Specialties & licences

Meals Provider (primary) Taxonomy 174200000X

Record details

NPI number1134040199
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 23, 2026
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing address1106 Laguille Ct, Rolla, MO 65401-3440