{"npi":"1023168358","type":"NPI-1","status":"active","name":{"display":"Jacquelyn Blackstone DO","other":[],"first":"JACQUELYN","last":"BLACKSTONE","middle":"A","credential":"DO"},"specialty":{"primary_taxonomy":"207VM0101X","primary_taxonomy_description":"Maternal & Fetal Medicine","slug":"maternal-fetal-medicine","schema_org_specialty":"Obstetric","all":[{"code":"207VM0101X","description":"Maternal & Fetal Medicine","primary":true,"state":"NM","license":"A-1954-16"}]},"addresses":[{"purpose":"LOCATION","street_1":"4701 MONTGOMERY BLVD NE","city":"ALBUQUERQUE","state":"NM","postal_code":"871091219","country_code":"US","phone":"5057276853"},{"purpose":"MAILING","street_1":"4101 INDIAN SCHOOL RD NE STE 110","city":"ALBUQUERQUE","state":"NM","postal_code":"871103991","country_code":"US"}],"license":{"state":"NM","number":"A-1954-16"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"30005994","state":"NH","issuer":null},{"type_code":"05","label":"Medicaid","value":"289980099","state":"ME","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180112000318","type_code":"14-16","type_desc":"PRACTITIONER - OBSTETRICS/GYNECOLOGY","state":"NM","pac_id":"6507802071"}]},"enumeration_date":"2007-01-11","last_updated":"2025-10-29","_meta":{"source":"NPPES","snapshot_date":"2025-10-29","doc_url":"https://findmynpi.com/api"}}