MR. BLAKE COULTER MCKNIGHT (NPI# 1497275804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497275804 |
| Entity Type | Individual |
| Full Name | MR. BLAKE COULTER MCKNIGHT |
| Credential | NP |
| Practice Address |
272 North Main Street #101 Cambridge VT 05444 |
| Mailing Address |
272 North Main Street #101 Cambridge VT 05444 |
| Practice Telephone | 8026445114 |
| Mailing Telephone | 8026445114 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
101.0129624 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
272 NORTH MAIN STREET #101 |
| City | CAMBRIDGE |
| State | VT |
| Zip Code | 05444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528350295 | Shelly Houle Rodriguez | Counselor | 1205 Upper Pleasant Valley Rd, Jeffersonville, VT 05444 | 2011-05-12 |
| 1356645741 | Nordic Rehab @ Wellness | Specialist | 272 North Main St, Cambridge, VT 05444 | 2010-12-29 |
| 1407939721 | Family Practice Associates Inc | Clinic/Center | 272 No Main St, Suite 101, Cambridge, VT 05444 | 2006-10-23 |
| 1952418139 | Kph Healthcare Services, Inc. | Pharmacy | 155 S Main Street, Cambridge, VT 05444 | 2006-08-24 |
| 1073537858 | Anna Carey | Family Medicine | 252 North Main St., Cambridge, VT 05444 | 2006-07-26 |
| 1588695720 | Charles Steven Hayes | Physical Therapist | 272 N. Main St., Cambridge, VT 05444 | 2006-07-05 |
| 1316546294 | Steacy Lynne Suddaby | Nurse Practitioner | 272 N Main Street, Suite 101, Cambridge, VT 05444-0102 | 2020-10-21 |
| 1447877311 | Page Tomlinson | Nurse Practitioner | 272 No Main St Suite 101, Cambridge, VT 05444-0102 | 2020-06-26 |
| 1144525619 | Susan Lucille Jaynes | Nurse Practitioner | 272 No Main St, Cambridge, VT 05444-0102 | 2011-01-14 |
| 1528442589 | Heather Blair | Dental Hygienist | 34 Kays Way, Cambridge, VT 05444-4455 | 2015-07-18 |
| Find all providers in zip 05444 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379844 | Austin Keith Gydesen | Nurse Practitioner | 1022 Pacific St, Cambridge, NE 69022-3517 | 2020-09-03 |
| 1922626068 | Holly Grace Duddy | Nurse Practitioner | 111 Sciarappa St Apt 3, Cambridge, MA 02141-2149 | 2020-07-06 |
| 1447877311 | Page Tomlinson | Nurse Practitioner | 272 No Main St Suite 101, Cambridge, VT 05444-0102 | 2020-06-26 |
| 1053948828 | Afomia Bekele | Nurse Practitioner | 603 Concord Ave Unit 204, Cambridge, MA 02138-1198 | 2020-03-23 |
| 1366072647 | Megan Oslund | Nurse Practitioner | 1586 345th Trl Ne, Cambridge, MN 55008-5711 | 2020-01-25 |
| 1538705314 | Jennifer Marlene Hess | Nurse Practitioner | 14011 E Pike Rd, Cambridge, OH 43725-9166 | 2019-11-27 |
| 1841780038 | Cassie Lynn Hugebeck | Nurse Practitioner | 62089 Savage Rd, Cambridge, OH 43725-9760 | 2018-05-14 |
| 1669922589 | Molly Ariel Shear | Nurse Practitioner | 29 Copley St, Cambridge, MA 02138-1238 | 2016-10-04 |
| 1508268061 | Erica Tassinari | Nurse Practitioner | 300 Mount Auburn St Ste 310, Cambridge, MA 02138-5665 | 2014-09-16 |
| 1750433124 | Sharon Jennings Stagg | Nurse Practitioner | 2 Aurora St, Cambridge, MD 21613-1912 | 2007-01-17 |
| Find all providers in CAMBRIDGE | ||||
Please comment or provide details below to improve the information on MR. BLAKE COULTER MCKNIGHT.
| 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.