KATHERINE A BLAKE APRN BC NPI 1073609301

NPI Information

  • NPI: 1073609301
  • Provider Name: KATHERINE A BLAKE, APRN BC
  • Classification: Clinical Nurse Specialist - 364S00000X
  • Entity Type: Individual
  • Address: 55 PLEASANT STREET
    NEWBURY PORT, MA
    ZIP 01950
  • Phone: (978) 462-0302

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NPI Details

Katherine A Blake, APRN BC is a clinical nurse specialist in Newbury Port, MA. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. Katherine A Blake, APRN BC NPI is 1073609301. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 PLEASANT STREET
NEWBURY PORT, MA
ZIP 01950
Phone: (978) 462-0302
Fax: (978) 499-0226

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364S00000XClinical Nurse Specialist104897MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R93953MEDICARE UPIN
2PN0059MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
3708967OTHERMASSACHUSETTSTUFTS
4PN0059OTHERMASSACHUSETTSBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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