Katherine A Blake, APRN BC is a
Clinical Nurse Specialist based in Newbury Port, Massachusetts. Katherine A Blake is licensed to practice in Massachusetts (license number 104897) and her current practice location is
55 Pleasant Street, Newbury Port, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(978) 462-0302.
NPI number for Katherine A Blake is 1073609301 and her current mailing address is 55 Pleasant Street, Newbury Port, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073609301.
Provider's Profile
Full Name | Katherine A Blake |
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Gender | Female |
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Speciality | Clinical Nurse Specialist |
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Location | 55 Pleasant Street, Newbury Port, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073609301
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Katherine A Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073609301 | NPI | - | NPPES |
PN0059 | Other | MA | BCBS |
708967 | Other | MA | TUFTS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364S00000X | Clinical Nurse Specialist | 104897 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katherine A Blake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Katherine A Blake, APRN BC 55 Pleasant Street, Newbury Port, MA 01950 Ph: (978) 462-0302 | Katherine A Blake, APRN BC 55 Pleasant Street, Newbury Port, MA 01950 Ph: (978) 462-0302 |
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