KATHERINE A BLAKE (NPI# 1073609301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073609301 |
| Entity Type | Individual |
| Full Name | KATHERINE A BLAKE |
| Other Name | KATHERINE A GENDRON |
| Credential | APRN BC |
| Practice Address |
55 Pleasant Street Newbury Port MA 01950 |
| Practice Telephone | 9784620302 |
| Practice Fax Number | 9784990226 |
| Mailing Telephone | 9784620302 |
| Mailing Fax Number | 9784990226 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 104897 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS | 708967 | 01 |
| MA | BCBS | PN0059 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912246331 | Katherine E Blake | Nurse Practitioner | 1640 Arlington Heights Rd, Suite 210, Arlington Heights, IL 60004 | 2013-02-05 |
| 1225304322 | Katherine M Blake | Family Medicine | 1860 W Winchester Rd Ste 109, Libertyville, IL 60048-5312 | 2012-03-22 |
| 1861511727 | Katherine J Blake | Psychologist | 3202 Tower Oaks Blvd, Suite 260, Rockville, MD 20852-4219 | 2007-03-29 |
| Street Address |
55 PLEASANT STREET |
| City | NEWBURY PORT |
| State | MA |
| Zip Code | 01950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954212 | Kirsten Ross | Registered Nurse | Anna Jaques Hospital, 25 Highland Ave, Newburyport, MA 01950 | 2020-02-18 |
| 1649752098 | William Edward Taylor | Social Worker | 25 Bromfield Street Side B, Newburyport, MA 01950 | 2018-09-02 |
| 1982113486 | Rachel Harris | Physical Therapy Assistant | 20 Beacon Ave, Unit 6, Newburyport, MA 01950 | 2017-09-27 |
| 1366998163 | Charles A. Nickou, D.m.d LLC | Dentist | 16 Harris Street, Newburyport, MA 01950 | 2016-08-31 |
| 1972954451 | Kathryn Jane Giguere | Nurse Practitioner | 7 Graf Road, Newburyport, MA 01950 | 2016-06-27 |
| 1487023230 | Christine Burgess | Social Worker | 180 Lowe Street, County Center for Health Rehabilitation, Newburyport, MA 01950 | 2015-09-23 |
| 1356746333 | Kelly Crotty | Occupational Therapist | 26 Washington St, Newburyport, MA 01950 | 2014-11-03 |
| 1225444961 | Christine Scotto | Licensed Practical Nurse | 41 Maple Lane, Monroe, NY 01950 | 2014-07-02 |
| 1811315831 | Newburyport Cardiovascular Associates, LLC | Internal Medicine | 7 Henry Graf Jr. Road, Newburyport, MA 01950 | 2014-04-07 |
| 1205189081 | Darryl Lemus | Counselor | 11 Market Squre Suite 6, Newburyport, MA 01950 | 2012-10-18 |
| Find all providers in zip 01950 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487289641 | Carol P Corcoran | Clinical Nurse Specialist | 34 Lawrence St, Wakefield, MA 01880-1847 | 2020-03-09 |
| 1770618803 | Beverlee Sclar | Clinical Nurse Specialist | 8 Alton Place Suite #5, Brookline, MA 02446 | 2007-02-22 |
| 1629123542 | Jane M Woodman | Clinical Nurse Specialist | Appleton Building 2 No Main St Suite 3, Ipswich, MA 01938 | 2007-01-23 |
| 1467531426 | Peggy Louise Wolff | Clinical Nurse Specialist | 126 Cave Hill Road, Leverett, MA 01054-9728 | 2006-11-02 |
| 1043390909 | Ann Galligan | Clinical Nurse Specialist | 25 Mohawk Drive, Leominster, MA 01453 | 2006-10-16 |
| 1770597429 | Elizabeth Mccusker-hunt | Clinical Nurse Specialist | 125 Liberty St Ste 2, Danvers, MA 01923-3325 | 2006-07-28 |
| 1881625242 | Rachel A Darian | Clinical Nurse Specialist | 169 Libbey Pkwy 2nd Floor, Weymouth, MA 02189-3101 | 2006-07-05 |
| 1891735726 | Rochelle Cooper | Clinical Nurse Specialist | 20 Watertown St, Watertown, MA 02472-2505 | 2006-06-08 |
| 1316984065 | Jeanette Marie Maddix | Clinical Nurse Specialist | 323 Boston Post Rd, Sudbury, MA 01776-3022 | 2006-06-01 |
| 1740252741 | Gina M Hughes | Clinical Nurse Specialist | 130 Maple St, Suite 205, Springfield, MA 01103 | 2006-02-03 |
| Find all providers with the same taxonomy | ||||
| City | NEWBURY PORT |
| Zip Code | 01950 |
Please comment or provide details below to improve the information on KATHERINE A BLAKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.