● Active Type 1 · Individual

MRS. Samantha D'Ann Blackburn, PMHNP-BC; FNP-C

Nurse Practitioner·Meridian, ID· NPI 1811534613 · Enumerated 2019 · 6 years on NPI

Blackburn is 1 of 68 nurse practitioner providers in Meridian and 1 of 374 in Idaho.

NPI age

6 years

Enumerated 2019-11-29

Primary specialty

Nurse Practitioner

Plus 3 subspecialties

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2026-05-07

Source: monthly bulk 2026-05

Sole proprietor

Yes

Solo practice on file

How this provider compares

Across 374 active nurse practitioner providers in Idaho.

NPI age

6 years

↑ 2 yr above median (4 yr)

State licenses

1 state

13% of peers hold multiple states

Subspecialties

In the 34% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-11Enumerated in NPPES

2019 2026

Where they practice

Practice location

3709 N Locust Grove Rd Ste 150

Meridian, ID 836465924

📞 2082085430fax 2082085431

Mailing address

3709 N Locust Grove Rd Ste 150

Meridian, ID 836465924

📞 2082085430fax 2082085431

Specialties

Physician Assistants & Advanced Practice Nursing Providers › Nurse Practitioner

Nurse Practitioner Primary

Definition to come...

ID license #65041 taxonomy 363LP0808X
Nurse Practitioner

Definition to come...

ID license #65041 taxonomy 363LA2100X
Nurse Practitioner

Definition to come...

ID license #65041 taxonomy 363LF0000X
Registered Nurse

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...

ID license #47259 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

Recently enumerated nearby: 6 new nurse practitioner providers have been added in Meridian in the last 180 days. See all →

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.