NPPES file of Aug 9, 2026

Clydie Blackwell, RN

Addiction (Substance Use Disorder) Registered Nurse · East Saint Louis, IL

Clydie Blackwell, RN is an addiction (substance use disorder) registered nurse with a practice address in East Saint Louis, Illinois, and NPI 1063289635, issued on Dec 5, 2023. Check the license (Illinois 041165940, as entered in NPPES) with the Illinois board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1063289635
Name
Clydie Blackwell
Credential
RN
Primary taxonomy
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X
License number
041165940 IL
Self-reported in NPPES; status is on the state search
Practice location
505 S 8TH St, East Saint Louis, IL 62201
Phone
(618) 474-7330
Enumerated
Dec 5, 2023
Record last updated
Dec 5, 2023
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 505 S 8TH St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Estelisa Bevely, RNAddiction (Substance Use Disorder) Registered Nurse1508633173
  2. Rita Byrd, LCSWClinical Social Worker1245978949
  3. Sandra Collier, MSW, LCSWClinical Social Worker1598996324
  4. Joseph Delucia, DOEmergency Medicine Physician1528008786
  5. Deborah Dyle, LCSWClinical Social Worker1225890478
  6. Wendy Fleming, RNAddiction (Substance Use Disorder) Registered Nurse1447027016

Verify Clydie Blackwell in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this profession
    Search for license 041165940
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Illinois license search

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3 addiction (substance use disorder) registered nurse records list a practice address in East Saint Louis

They are 3 of the 118 NPPES records with a practice address in East Saint Louis, and 68 addiction (substance use disorder) registered nurse records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

Other addiction (substance use disorder) registered nurse records in Illinois

  1. Brenda Bertrand, RNSt Charles, IL1023895687
  2. Estelisa Bevely, RNEast Saint Louis, IL1508633173
  3. Heather BorgardtRockford, IL1679051114
  4. Dorothy BourgeoisDes Plaines, IL1942772702
  5. Stepheni Bourov, RNDekalb, IL1700683679
  6. Amanda Brandon, RNMarion, IL1457063042
  7. Blake Brown, BSN, RNAnna, IL1285492363
  8. Terry BungerRockford, IL1043787419
  9. Harriett Cain, R.N.Chicago, IL1174163034
  10. Shanita Calvert, ADN,RNAnna, IL1518730738

Common questions

What is Clydie Blackwell, RN's NPI number?

Clydie Blackwell, RN's National Provider Identifier (NPI) is 1063289635, issued on Dec 5, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Clydie Blackwell, RN located?

The NPPES record lists a practice address at 505 S 8TH St, East Saint Louis, IL, 62201. Phone: (618) 474-7330. Providers update this record themselves, so call before visiting.

How can I verify Clydie Blackwell, RN's license?

NPPES lists Illinois license number 041165940, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.