ALICIA KATHLEEN BLYTHE (NPI# 1770050007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770050007 |
| Entity Type | Individual |
| Full Name | ALICIA KATHLEEN BLYTHE |
| Credential | CNP |
| Practice Address |
110 Francis St Ste 5a Boston MA 02215-5566 |
| Practice Telephone | 6176327827 |
| Practice Fax Number | 6176327840 |
| Mailing Telephone | 6176327827 |
| Mailing Fax Number | 6176327840 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2019-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN2304432 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
110 FRANCIS ST STE 5A |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-5566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598907420 | Ryan Patrick Cauley | Plastic Surgery | 110 Francis St Ste 5a, Boston, MA 02215 | 2009-03-24 |
| 1316421852 | Emma Peditto | Surgery | 110 Francis St Ste 5a, Boston, MA 02215-5566 | 2018-09-20 |
| 1386157519 | Monika Butkiewicz | Physician Assistant | 110 Francis St Ste 5a, Boston, MA 02215-5566 | 2017-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071601 | Katherine Parrott | Nurse Practitioner | 95 Prince St Apt 8, Boston, MA 02113-1738 | 2020-10-21 |
| 1639712060 | Elizabeth Gina Hayden | Nurse Practitioner | 330 Brookline Ave # Baker304, Boston, MA 02215-5400 | 2019-10-17 |
| 1629539838 | David Anthony Cornetta | Nurse Practitioner | 860 Washington St Fl 7, Boston, MA 02111-1521 | 2019-03-29 |
| 1568964914 | Phuong Luu | Nurse Practitioner | 606 E Fourth St, Unit 204, Boston, MA 02127 | 2018-03-01 |
| 1134637507 | Moriah Kate Jacobellis | Nurse Practitioner | 55 Fruit St # Street8, Boston, MA 02114-2621 | 2018-01-18 |
| 1790295244 | Jaimee Michelle Cathers | Nurse Practitioner | 110 Francis St # St3b, Boston, MA 02215-5501 | 2017-10-10 |
| 1831527340 | Laura Nelson | Nurse Practitioner | 326 Commonwealth Avenue, Apt Br, Boston, MA 02115 | 2013-10-18 |
| 1174890966 | Caitlin Walsh Brennan | Nurse Practitioner | 150 S Huntington Ave # 152m, Boston, MA 02130-4817 | 2011-11-21 |
| 1407162142 | Maura E. Hossack | Nurse Practitioner | 801 Mass Ave, Crosstown 2, Boston, MA 02118-2605 | 2010-08-19 |
| 1790008571 | Amy Catherine Baugh | Nurse Practitioner | 110 Francis St Ste 2a, Boston, MA 02215-5501 | 2010-03-08 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on ALICIA KATHLEEN BLYTHE.
| 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.