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

Victoria Elise Blackmon

Individual provider Certified Registered Nurse Anesthetist · NPI 1831796614

Victoria Elise Blackmon is a Certified Registered Nurse Anesthetist (CRNA) in Memphis, Tennessee. Qualified in 2021, 5 years ago. Practices with Willow Anesthesia Services LLC, a 47-clinician group and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
5
Licensed in
MS, TN
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone: (901) 226-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 29781 (TN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 133854 (TN)
School Registered Nurse Taxonomy 163WS0200X · Licence 904087 (MS)

Record details

NPI number1831796614
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 5, 2020
Last updated in NPPESJuly 9, 2021
Certification dateJune 11, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Willow Anesthesia Services Llc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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