Clydie Blackwell, RN
NPI 1063289635 · Addiction (Substance Use Disorder) Registered Nurse · East Saint Louis, IL
Clydie Blackwell, RN is a Addiction (Substance Use Disorder) Registered Nurse provider in East Saint Louis, IL (NPI 1063289635).
Provider details
- NPI number
- 1063289635
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 041165940 (IL)
Specialties & taxonomies
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-12-05
- Last updated
- 2023-12-05
- Certified
- 2023-12-05
Frequently asked questions
- What is Clydie Blackwell's NPI number?
- Clydie Blackwell's National Provider Identifier (NPI) is 1063289635, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clydie Blackwell's specialty?
- Clydie Blackwell is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Registered Nurse (Nursing Service Providers).
- Where is Clydie Blackwell located?
- Clydie Blackwell's practice location on file with NPPES is 505 S 8th St, East Saint Louis, IL 62201-2919.
- What is Clydie Blackwell's phone number?
- The practice phone number listed in the NPPES registry for Clydie Blackwell is (618) 474-7330.
- Is Clydie Blackwell's NPI active?
- Yes — Clydie Blackwell's NPI (1063289635) is active in the NPPES registry as of the last update on 2023-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.