KIMBERLY A BLAKE (NPI# 1689626319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689626319 |
| Entity Type | Individual |
| Full Name | KIMBERLY A BLAKE |
| Credential | ANP |
| Practice Address |
106 Calvert St Harrison NY 10528-3131 |
| Practice Telephone | 9148350073 |
| Practice Fax Number | 9148351071 |
| Mailing Telephone | 9142411050 |
| Mailing Fax Number | 9142421516 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F302529 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02073710 | 05 | |
| NY | DME | 0667910001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391530 | Kimberly Blake | Chore Provider | 1325 Airmotive Way, Reno, NV 89502-3201 | 2020-09-17 |
| 1811306418 | Kimberly Blake | Technician, Other | 815 W 5th North St, Morristown, TN 37814-3810 | 2014-08-07 |
| 1265715858 | Kimberly Blake | Case Manager/Care Coordinator | 6701 Hwy 67 S, Bldg 4, Benton, AR 72015 | 2011-09-21 |
| 1689971749 | Kimberly Lorene Blake | Nurse Practitioner | 1125 Skyline Dr, Conway, AR 72032-6657 | 2011-02-24 |
| 1295030195 | Kimberly Thornton Blake | Physician Assistant | 1401 W Seminole Blvd, Sanford, FL 32771-6743 | 2011-01-24 |
| 1265480222 | Kimberly Blake | Obstetrics & Gynecology | 96 Colchester Ave, Burlington, VT 05401-1417 | 2006-05-04 |
| Street Address |
106 CALVERT ST |
| City | HARRISON |
| State | NY |
| Zip Code | 10528-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649835729 | Soniya James | Family Medicine | 106 Calvert St, Harrison, NY 10528-3131 | 2019-05-04 |
| 1184189292 | Princy Daniel | Nurse Practitioner | 106 Calvert St, Harrison, NY 10528-3131 | 2019-02-02 |
| 1881054872 | Harrison Physician Services Pllc | Family Medicine | 106 Calvert St, Harrison, NY 10528-3131 | 2016-03-03 |
| 1003148776 | Kathleen J Boyle | Nurse Practitioner | 106 Calvert St, Harrison, NY 10528-3131 | 2010-02-05 |
| 1205844784 | Arthur Holmberg IIi | Internal Medicine | 106 Calvert St, Harrison, NY 10528-3131 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018937 | Angela Claire Schiz | Dietetic Technician, Registered | Balance 3h Plus Medical Weight Loss Center, 450 Mamaroneck Ave Suite #413, Harrison, NY 10528 | 2020-09-16 |
| 1093214884 | Maria Cecylia Pytel | Occupational Therapy Assistant | 450 Mamaroneck Ave Suite412, Harrison, NY 10528 | 2018-02-07 |
| 1942573696 | Westchester Therapy Solutions Ot Pt St, Pllc | Early Intervention Provider Agency | 450 Mamaroneck Avenue, Suite 412, White Plains, NY 10528 | 2012-02-10 |
| 1417231051 | Claire Zucker | Speech-Language Pathologist | 480 Harrison Avenue, Harrison Avenue School, Harrison, NY 10528 | 2011-09-30 |
| 1295016590 | Amy Lauren Podolak | Speech-Language Pathologist | 75 Fenimore Drive, Harrison, NY 10528 | 2011-08-31 |
| 1063646321 | Ortho-range Ltd. | Durable Medical Equipment & Medical Supplies | 49 Halstead Avenue, Harrison, NY 10528 | 2009-05-14 |
| 1508037615 | Deanna Kwan | Psychologist | 600 Mamaroneck Ave., Suite 400, Harrison, NY 10528 | 2008-03-17 |
| 1043401797 | Seth Pearl, Chiropractor, PC | Chiropractor | 450 Mamaroneck Ave Ste 413, Harrison, NY 10528 | 2007-08-07 |
| 1912120726 | Eran Feit | Psychiatry & Neurology | 275 North St., Harrison, NY 10528 | 2007-04-10 |
| 1669519708 | Bo Young Chun | Dentist | 47-49 Halstead Ave. #101, Harrison, NY 10528 | 2007-01-30 |
| Find all providers in zip 10528 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417480161 | Ozark Geriatrics of Harrison Corp | Nurse Practitioner | 6166 Highway 206 W, Harrison, AR 72601-9235 | 2017-04-10 |
| 1447408745 | Patricia Mary Vara | Nurse Practitioner | 275 North Street, Harrison, NY 10528 | 2008-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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| 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.