Van Blackaby, PMHNP-BC
NPI 1205272010 · Psychiatric/Mental Health Nurse Practitioner · Knoxville, TN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Van Blackaby, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Knoxville, TN (NPI 1205272010).
Provider details
- NPI number
- 1205272010
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- 36184 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 201 W Springdale AveKnoxville, TN 37917-5158Phone: (865) 637-9711
Registry dates
- Enumerated
- 2013-05-20
- Last updated
- 2025-04-22
- Certified
- 2025-04-22
Frequently asked questions
- What is Van Blackaby's NPI number?
- Van Blackaby's National Provider Identifier (NPI) is 1205272010, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Van Blackaby's specialty?
- Van Blackaby is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Van Blackaby located?
- Van Blackaby's practice location on file with NPPES is 2018 Western Ave, Knoxville, TN 37921-5718.
- What is Van Blackaby's phone number?
- The practice phone number listed in the NPPES registry for Van Blackaby is (865) 544-0406.
- Does Van Blackaby accept Medicare?
- Van Blackaby is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Van Blackaby's NPI active?
- Yes — Van Blackaby's NPI (1205272010) is active in the NPPES registry as of the last update on 2025-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.