Healthcare Provider Details

I. General information

NPI: 1588291744
Provider Name (Legal Business Name): ALEXIS J BLACKWELDER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXIS JOYCE FRANKHAUSER

II. Dates (important events)

Enumeration Date: 03/26/2020
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 W 18TH ST STE 100
SIOUX FALLS SD
57104-4650
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US

V. Phone/Fax

Practice location:
  • Phone: 605-312-8500
  • Fax:
Mailing address:
  • Phone: 970-624-2422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCP002922
License Number StateSD
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0996628-NP
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberC-APN.0002185
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: