KATHERINE E BLOSS


Address: 75 Crystal Run Rd, Ste 135, Middletown, NY 10941-7009
Phone: 8453337575

KATHERINE E BLOSS (NPI# 1568718369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568718369
Entity Type Individual
Full Name KATHERINE E BLOSS
Other Name KATHERINE E SANTORO
Credential NP
Practice Address 75 Crystal Run Rd
Ste 135
Middletown
NY 10941-7009
Mailing Address P.o. Box 4164
Belfast
ME 04915
Practice Telephone 8453337575
Practice Fax Number 8453337139
Mailing Telephone 2073237175
Mailing Fax Number 8668674172
Enumeration Date 2012-07-30
Last Update Date 2015-02-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 617533-1 NY Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
337559 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03497972 05

Office Location

Street Address 75 CRYSTAL RUN RD
STE 135
City MIDDLETOWN
State NY
Zip Code 10941-7009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033110895 Bradley D Wiener Orthopaedic Surgery 75 Crystal Run Rd, Suite 206, Middletown, NY 10941-7000 2005-08-02
1992336960 Kristin N Koch Specialist 75 Crystal Run Rd, Middletown, NY 10941-7000 2020-01-29
1316584766 Maria Jaffari Occupational Therapist 75 Crystal Run Rd, Middletown, NY 10941-7000 2019-12-04
1508401811 Brenda Hope Kirschenbaum-gallardo Specialist 75 Crystal Run Rd, Middletown, NY 10941-7000 2019-11-11
1366091837 Laura Ritchings Occupational Therapy Assistant 75 Crystal Run Rd, Middletown, NY 10941-7000 2019-09-08
1841847431 Darlene Waddell Specialist 75 Crystal Run Rd, Middletown, NY 10941-7000 2019-08-20
1073078002 Debra Wilson Specialist 75 Crystal Run Rd, Middletown, NY 10941-7000 2019-02-04
1790143402 Hudson Valley Pediatric Dental, Pllc Dentist 75 Crystal Run Rd, Suite 235, Middletown, NY 10941-7000 2016-02-09
1902147150 Benjamin Gordon Schultz Audiologist 75 Crystal Run Rd, Suite 220, Middletown, NY 10941-7000 2013-03-13
1700125838 Regional Orthopaedics & Pain Management,pllc Physical Medicine & Rehabilitation 75 Crystal Run Rd, Suite 206, Middletown, NY 10941-7000 2013-02-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407471428 Jackeline Montoya Case Manager/Care Coordinator 13 Kensington Manor, Middletown, NY 10941 2020-06-15
1124502398 Kimberly Dominique Mccormick Licensed Practical Nurse 29, Macintosh Drive, Middletown, NY 10941 2018-09-24
1750891081 Heather Skinner Case Manager/Care Coordinator 75 Crystal Run Rd Suite 201, Middletown, NY 10941 2017-09-29
1295281012 Christa Lloyd Counselor 15 Fortune Rd, West Middletown, NY 10941 2016-08-31
1023471109 Lauren Battaglia Occupational Therapy Assistant 192 Tower Drive Suite 400, Middletown, NY 10941 2016-04-05
1992188718 Brynn Sierra Occupational Therapist 21 Riverside Drive, Middletown, NY 10941 2015-06-30
1356788574 Keren Denis Joseph Custodial Care Facility 16 Disco Dr, Middletown, NY 10941 2013-05-29
1902169204 Susan A. Reilly Specialist 2277 Gosen Turnpike, Middletown, NY 10941 2012-06-21
1518229392 Dena Sapp Case Manager/Care Coordinator 75 Crystal Run Rd. Suite 201, Middletown, NY 10941 2012-06-08
1770800542 Orange County Medical Transportation Inc. Taxi 80 Wisner Avenue, Middletown, NY 10941 2010-05-03
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669072344 Shante Brady Nurse Practitioner 37 Ruth Ct, Middletown, NY 10940-5329 2020-10-30
1932710126 Miesha Sarah Stokely Nurse Practitioner 10 Atwood Dr, Middletown, NY 10940-2539 2020-08-12
1801413919 Stacey Ward Nurse Practitioner 1055 Summit Dr., Middletown, OH 45042 2020-07-06
1316563869 Alexa Rae Steenbruggen Nurse Practitioner 8 Gossets Turn Dr, Middletown, RI 02842-7900 2020-06-21
1942832472 Courtney Killin Nurse Practitioner 506 Gladys Dr, Middletown, OH 45044-4825 2020-02-12
1174085575 Adenike Yetunde Awotundun Nurse Practitioner 1020 N Union St Apt 204, Middletown, PA 17057-2158 2019-04-03
1447722095 Cheryl Roman Nurse Practitioner 15 Southview W, Middletown, NJ 07748-2416 2018-12-20
1083191076 Johnita Hendricks Nurse Practitioner 124 Sleepy Hollow Dr Ste 201, Middletown, DE 19709-5838 2018-07-23
1881146702 Oluyemisi A Okudele Nurse Practitioner 11 Little Cir, Middletown, DE 19709-7956 2016-10-26
1629523816 Lavinda Mcauliffe Nurse Practitioner 6730 Roosevelt Ave Ste 201, Middletown, OH 45005-5730 2016-08-17
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Competitor

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City MIDDLETOWN
Zip Code 10941

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Dataset Information

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.

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