KATHRYN BLUM (NPI# 1720218951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720218951 |
| Entity Type | Individual |
| Full Name | KATHRYN BLUM |
| Credential | APRN |
| Practice Address |
125 Parker Hill Ave Roxbury Crossing MA 02120-2847 |
| Mailing Address |
3 Albion Pl Newton MA 02459-2121 |
| Practice Telephone | 6177545987 |
| Practice Fax Number | 6177546438 |
| Mailing Telephone | 6178351467 |
| Mailing Fax Number | 6175272660 |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
155045 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437605391 | Kathryn Blum | Counselor | 5354 Parkdale Dr Fl 2, Saint Louis Park, MN 55416-1603 | 2016-08-31 |
| 1043599780 | Kathryn Blum | Physical Therapist | 1005 N Hickory Rd, South Bend, IN 46615-3723 | 2011-08-11 |
| Street Address |
125 PARKER HILL AVE |
| City | ROXBURY CROSSING |
| State | MA |
| Zip Code | 02120-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679579205 | Lisa A Ferzoco | Family Medicine | 125 Parker Hill Ave, Roxbury Crossing, MA 02120-2847 | 2005-06-28 |
| 1679941314 | Valerie L Robertson | Nurse Practitioner | 125 Parker Hill Ave, Suite 404, Roxbury Crossing, MA 02120-2847 | 2015-09-11 |
| 1023416781 | Codey Gillum | Physician Assistant | 125 Parker Hill Ave, Roxbury Crossing, MA 02120-2847 | 2014-12-11 |
| 1356621379 | Heather Lynn Montalto | Nurse Practitioner | 125 Parker Hill Ave, Roxbury Crossing, MA 02120-2847 | 2011-08-22 |
| 1083914980 | Frank F Rand Md | Orthopaedic Surgery | 125 Parker Hill Ave, Converse 4, Roxbury Crossing, MA 02120-2847 | 2010-10-25 |
| 1639409477 | Haki Laho | Hospitalist | 125 Parker Hill Ave, Roxbury Crossing, MA 02120-2847 | 2009-12-29 |
| 1730349135 | Barbara Alma Klemm | Nurse Practitioner | 125 Parker Hill Ave, Suite 502 Fogg, Roxbury Crossing, MA 02120-2847 | 2008-06-10 |
| 1902070568 | Douglas Patch Md PC | Orthopaedic Surgery | 125 Parker Hill Ave, Suite 580, Roxbury Crossing, MA 02120-2847 | 2008-04-15 |
| 1770752487 | Marilyn Maguire | Nurse Practitioner | 125 Parker Hill Ave, Roxbury Crossing, MA 02120-2847 | 2008-02-27 |
| 1962671123 | Carl T Talmo Md PC | Orthopaedic Surgery | 125 Parker Hill Ave, Roxbury Crossing, MA 02120-2847 | 2008-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244735 | Alicia Hoffman | Occupational Therapist | 71 Alleghany Street, Boston, MA 02120 | 2020-01-22 |
| 1376193110 | Katherine Wiley | Student in an Organized Health Care Education/Training Program | 71 Allegheny Street, Boston, MA 02120 | 2019-09-13 |
| 1073171971 | Kyana Figueroa | Community/Behavioral Health | 4 Sussex St, Roxbury, MA 02120 | 2019-06-05 |
| 1851870992 | Robert Kevin Moreland | Radiology | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 | 2018-08-09 |
| 1811424005 | Christopher Lim | Student in an Organized Health Care Education/Training Program | 1620 Tremont St, One Brigham Circle, Radiology Administration, Boston, MA 02120 | 2017-05-18 |
| 1609328178 | Nikhil A Sangave | Pharmacist | 1290 Tremont St Fl 3, Boston, MA 02120 | 2016-10-31 |
| 1417232968 | Hrc Corp Inc | Pharmacy | 201 Humboldt Avenue, Dorchester, MA 02120 | 2011-10-17 |
| 1689957722 | Hrd Corp, Inc | Pharmacy | 201 Humboldt Ave, Dorchester, MA 02120 | 2011-09-26 |
| 1841580453 | Alessandro Villa | Dentist | 1620 Tremont Street, Suite Bc-3-028, Division of Oral Medicine & Dentistry Bwh, Boston, MA 02120 | 2011-04-15 |
| 1043446859 | Sara King | Internal Medicine | 1290 Tremont Street, Boston, MA 02120 | 2009-06-08 |
| Find all providers in zip 02120 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770794505 | Ruth Hines | Nurse Practitioner | 1234 Columbus Ave, Roxbury Crossing, MA 02120-3423 | 2007-05-24 |
| 1851835912 | Priscilla Dunn Bolte | Nurse Practitioner | 1234 Columbus Ave, Department of Nursing, Roxbury Crossing, MA 02120-3423 | 2016-12-08 |
| 1356621379 | Heather Lynn Montalto | Nurse Practitioner | 125 Parker Hill Ave, Roxbury Crossing, MA 02120-2847 | 2011-08-22 |
| 1871807487 | Sarah Kristin Grayson | Nurse Practitioner | 1125 Tremont St, Roxbury Crossing, MA 02120-2178 | 2010-08-06 |
| 1730349135 | Barbara Alma Klemm | Nurse Practitioner | 125 Parker Hill Ave, Suite 502 Fogg, Roxbury Crossing, MA 02120-2847 | 2008-06-10 |
| 1942490404 | Nancy J Vetock | Nurse Practitioner | 125 Parker Hill Ave, Pas-converse 5, Roxbury Crossing, MA 02120-2847 | 2007-07-30 |
| 1558551291 | Sheila Curran Querfurth | Nurse Practitioner | 125 Parker Hill Ave, Roxbury Crossing, MA 02120-2847 | 2007-07-30 |
| 1164612149 | Carol Genereux | Nurse Practitioner | 125 Parker Hill Ave, Converse 5, Roxbury Crossing, MA 02120-2847 | 2007-07-26 |
| 1578608295 | Tara Lynn Mounsey | Nurse Practitioner | 125 Parker Hill Ave, Roxbury Crossing, MA 02120-2847 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576121 | Alexander I Hoffman | Nurse Practitioner | 54 Southbourne Rd, Jamaica Plain, MA 02130-4633 | 2020-10-26 |
| 1104423482 | Paola Buchanan | Nurse Practitioner | 351 Engamore Ln Apt T3, Norwood, MA 02062-2505 | 2020-10-08 |
| 1649877705 | Stacey Rose Tosado | Nurse Practitioner | 108 Myrtle St Apt 3, Boston, MA 02114-4348 | 2020-10-02 |
| 1902411341 | Anne Marie Marie Dicredico | Nurse Practitioner | 916 Sherwood Forest Ln Unit 916, Saugus, MA 01906-1973 | 2020-09-12 |
| 1407460322 | Devi Sivanandan | Nurse Practitioner | 18 Dale St Unit 5c, Andover, MA 01810-5663 | 2020-09-08 |
| 1447863600 | Diana Stephanie Freiberger | Nurse Practitioner | 965 West St, Walpole, MA 02081-1200 | 2020-08-27 |
| 1063023216 | Christine Cibotti | Nurse Practitioner | 8 Forty Acres Dr, Wayland, MA 01778-2702 | 2020-08-12 |
| 1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
| 1295344547 | Janelle Sherry Romain | Nurse Practitioner | 91 Codman Hill Ave, Dorchester, MA 02124-4636 | 2020-07-23 |
| 1245848852 | Patrice Nicholas | Nurse Practitioner | 14 Shipway Pl, Charlestown, MA 02129-4301 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
| City | ROXBURY CROSSING |
| Zip Code | 02120 |
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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.