Tosha Blackmon, LVN is a
Licensed Vocational Nurse based in Wake Village, Texas. Tosha Blackmon is licensed to practice in Texas (license number 300228) and her current practice location is
101 Redwater Rd Apt 296, Wake Village, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 475-6173.
NPI number for Tosha Blackmon is 1831805894 and her current mailing address is 101 Redwater Rd Apt 296, Wake Village, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831805894.
Provider's Profile
| Full Name | Tosha Blackmon |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Vocational Nurse |
|---|
| Location | 101 Redwater Rd Apt 296, Wake Village, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831805894
- Provider Enumeration Date: 01/24/2023
- Last Update Date: 07/27/2026
Medical Identifiers
Medical identifiers for Tosha Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831805894 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164X00000X | Licensed Vocational Nurse | 300228 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tosha Blackmon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Tosha Blackmon, LVN 101 Redwater Rd Apt 296, Wake Village, TX 75501-5747 Ph: (903) 475-6173 | Tosha Blackmon, LVN 101 Redwater Rd Apt 296, Wake Village, TX 75501-5747 Ph: (903) 475-6173 |
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