MS. ELAINE M BLECKLEY (NPI# 1104817501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104817501 |
| Entity Type | Individual |
| Full Name | MS. ELAINE M BLECKLEY |
| Credential | NP |
| Practice Address |
223 Chief Justice Cushing Hwy Ste 101 Cohasset MA 02025-1391 |
| Practice Telephone | 7813836800 |
| Practice Fax Number | 7813836504 |
| Mailing Telephone | 7813836800 |
| Mailing Fax Number | 7813836504 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2012-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
189296 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS | NP9824 | 01 |
| MA | 0347230 | 05 |
| Street Address |
223 CHIEF JUSTICE CUSHING HWY STE 101 |
| City | COHASSET |
| State | MA |
| Zip Code | 02025-1391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144212143 | Jocelyn Rabadam Healey | Pediatrics | 223 Chief Justice Cushing Hwy, Ste 201, Cohasset, MA 02025-1391 | 2005-08-17 |
| 1104297662 | Brittney Ellen Harrison | Physical Therapy Assistant | 223 Chief Justice Cushing Hwy, Suite Ll4, Cohasset, MA 02025-1391 | 2015-10-09 |
| 1184092199 | Michele Hadfield | Nurse Practitioner | 223 Chief Justice Cushing Hwy, Suite 101, Cohasset, MA 02025-1391 | 2015-09-08 |
| 1932597838 | Keerstin Lohnes | Nurse Practitioner | 223 Chief Justice Cushing Hwy, Suite 101, Cohasset, MA 02025-1391 | 2014-12-30 |
| 1609207935 | Lindsay Goodyear | Nurse Practitioner | 223 Chief Justice Cushing Hwy, Suite 101, Cohasset, MA 02025-1391 | 2013-12-12 |
| 1528403508 | Stephanie Rosalind Lubin-levy | Nurse Practitioner | 223 Chief Justice Cushing Hwy, Suite 101, Cohasset, MA 02025-1391 | 2013-05-06 |
| 1104171545 | Courtney Wasson Smith | Nurse Practitioner | 223 Chief Justice Cushing Hwy, Suite 301, Cohasset, MA 02025-1391 | 2012-07-23 |
| 1740561109 | Hannah Armstrong Wall | Nurse Practitioner | 223 Chief Justice Cushing Hwy, Suite 301, Cohasset, MA 02025-1391 | 2011-08-30 |
| 1982938718 | Erin Jean Cullen | Speech-Language Pathologist | 223 Chief Justice Cushing Hwy, Suite 201, Cohasset, MA 02025-1391 | 2009-09-25 |
| 1356584130 | Lisa Courtney Cloherty | Speech-Language Pathologist | 223 Chief Justice Cushing Hwy, Suite 201, Cohasset, MA 02025-1391 | 2009-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501372 | Melissa Doran | Pharmacist | 767 Chief Justice Cushing Highway, Cohasset, MA 02025 | 2020-09-02 |
| 1902274111 | Jillian Fay Miller | Speech-Language Pathologist | 115 Ripley Road, Suite #3, Cohasset, MA 02025 | 2015-09-03 |
| 1992043335 | Cindy S Rambaldo Doody | Massage Therapist | 124 King Street, Cohasset, MA 02025 | 2013-01-18 |
| 1164797593 | Freedom Home Dialysis | Clinic/Center | 288 King Street, Cohasset, MA 02025 | 2012-03-19 |
| 1659531143 | Keri A Peterman | Dentist | 223 Rt 3a, Suite 102, Cohasset, MA 02025 | 2008-06-10 |
| 1629164181 | Barry Carson Tufts | Dentist | Twelve Parkingway, Cohasset, MA 02025 | 2006-10-04 |
| 1053402008 | Kristine A Grazioso Dmd PC | Dentist | 223 Route 3a, Suite 102, Cohasset, MA 02025 | 2006-09-27 |
| 1528079845 | Katherine Mcarthur | Dentist | 746 Route 3a, Cohasset, MA 02025 | 2006-08-11 |
| 1811963846 | Ronald H Goldenson | Internal Medicine | 2 Stagecoach Way, Cohasset, MA 02025 | 2006-02-28 |
| 1710978119 | Brian H Mcphillips | Family Medicine | 223 Chief Justice Cushing Highway, Suite 301, Cohasset, MA 02025 | 2005-11-03 |
| Find all providers in zip 02025 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184092199 | Michele Hadfield | Nurse Practitioner | 223 Chief Justice Cushing Hwy, Suite 101, Cohasset, MA 02025-1391 | 2015-09-08 |
| 1932597838 | Keerstin Lohnes | Nurse Practitioner | 223 Chief Justice Cushing Hwy, Suite 101, Cohasset, MA 02025-1391 | 2014-12-30 |
| 1528403508 | Stephanie Rosalind Lubin-levy | Nurse Practitioner | 223 Chief Justice Cushing Hwy, Suite 101, Cohasset, MA 02025-1391 | 2013-05-06 |
| 1639160047 | Anne L Norton | Nurse Practitioner | 223 Chief Justice Cushing Hwy, Ste 101, Cohasset, MA 02025-1391 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666203 | Eileen Whyte O'holleran | Nurse Practitioner | 12 Autumn Ln, South Hamilton, MA 01982-1400 | 2020-10-14 |
| 1356948525 | Kaylee Woods | Nurse Practitioner | 85 Seaport Blvd Unit 714, Boston, MA 02210-2157 | 2020-10-01 |
| 1063026946 | Alexandra Louise Lester | Nurse Practitioner | 7 Doris Cir, Newton, MA 02458-1929 | 2020-09-08 |
| 1023627833 | Jennifer Suxin Yu | Nurse Practitioner | 63 Cedar St, Malden, MA 02148-3647 | 2020-07-28 |
| 1417566563 | Julianna Marie Roberts | Nurse Practitioner | 5 Helen Dr, Peabody, MA 01960-1235 | 2020-07-24 |
| 1144838384 | Amanda Rose Bakos | Nurse Practitioner | 218 Marion St, Boston, MA 02128-1758 | 2020-07-14 |
| 1710504949 | Angela Vu | Nurse Practitioner | 83 Nightingale Ave # 1l, Quincy, MA 02169-6413 | 2020-07-03 |
| 1083236749 | Mubina M Rhee | Nurse Practitioner | 170 Brookline Ave Unit 215, Boston, MA 02215-3921 | 2020-05-15 |
| 1841823911 | Rachel N Mick | Nurse Practitioner | 77 Winsor St Ste 103, Ludlow, MA 01056-3470 | 2020-02-18 |
| 1326670803 | Ashley Laverdiere | Nurse Practitioner | 1 Ferncroft Rd, Danvers, MA 01923-4017 | 2020-02-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. ELAINE M BLECKLEY.
| 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.