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

Tara Deshee Blackwell, APRN

Individual provider Family Nurse Practitioner · NPI 1326265430

Tara Deshee Blackwell, APRN is a Nurse Practitioner in Paducah, Kentucky. Qualified in 2006, 20 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
20
Licensed in
KY
In the registry since
2007
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

2605 Kentucky Ave Ste 102
Paducah, KY 42003-3800
Phone: (270) 415-8965
Fax: (855) 855-4585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 3005131 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3005131 (KY)

Record details

NPI number1326265430
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedApril 19, 2007
Last updated in NPPESMarch 5, 2021
Certification dateMarch 5, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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