NPivot
Michelle Blackburn is one of 1,162 nurse practitioners practicing in Austin, Texas .
Michelle Blackburn practices with South Austin Family Practice Clinic, PLLC.
Registry record (NPPES)
NPI
1265172779
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
101 Medical Pkwy Ste 210 Lakeway, TX 78738-5647 (512) 814-1984
Enumerated
Mar 31, 2022
Record last updated
Jan 16, 2025
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
The registry stops here. NPivot keeps going.
Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
See the full profile free
Free account. No card, no call.
Practice locations
12600 Hill Country Blvd
Austin , TX 78738
(512) 892-7076
More nurse practitioners in Austin
Halimatou Diallo, NP
Nita Maknojiya
Stephanie Blanch, MSN, APRN, FNP-C
Ramasunanda Nushisarva, NP
Glenda Lee Joiner-Rogers, PHD, RN, CNS
Dawn Bridgit Hollembeak, FNP, APRN-BC
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
NPivot · NPI lookup & provider intelligence
NPivot uses data from public CMS, NPPES & HRSA sources and is not affiliated with, endorsed by, or sponsored by CMS, HRSA, or any government agency. © 2026 NPivot · a Next Tier Careers product.