Individual provider Active NPI

Blanche Cefora Kattie, DNP, FNP-BC, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pikesville, MD
National Provider Identifier
1013426824
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R200901 Issued in MD
Practice address
4000 Old Court Rd
Pikesville, MD 21208-2800
Phone
(443) 898-8282
NPI assigned
Sep 25, 2017
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R200901 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R200901 MD Primary

Addresses

Primary practice location

4000 Old Court Rd
Pikesville, MD 21208-2800

Mailing address

10705 Charter Dr Ste 430
Columbia, MD 21044-2870
Phone (301) 259-3574

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address blanchek@BBHCN.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191127001708 MD Practitioner - Nurse Practitioner 3274899711 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Heart Health and WellnessGroup PAC ID 2668862673, 6 clinicians

Practice addresses (Care Compare)

10705 Charter Dr
Suite 430
Columbia, MD 21044-2870
Phone (301) 259-3574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R200901MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Dec 1, 2019 Accepting new patients
Building Blocks Healthcare Network LLC CurrentSince Sep 28, 2021 Accepting new patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Dec 1, 2019 Accepting new patients
USA Sleep Diagnostic Mobile Services, LLC CurrentSince Nov 1, 2017 Accepting new patients
One Heart Health and Wellness Psychiatric/Mental Health CurrentSince May 24, 2019 Accepting new patients
University of Maryland Faculty Physicians Immediate Care, LLC CurrentSince Dec 1, 2019 Accepting new patients
One Heart Health and Wellness Past Accepting new patients
One Heart Health and Wellness Past Accepting new patients
One Heart Health and Wellness Past Accepting new patients
One Heart Health and Wellness Past Accepting new patients
USA Sleep Diagnostic Mobile Service PastSince Nov 1, 2017 Accepting new patients

Locations

3242 Esther Pl
Baltimore, MD 21224
Phone (410) 725-1435

10705 Charter Dr
Ste 430
Columbia, MD 21044
Phone (301) 259-3574

5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603

Interoperability endpoints

  • Direct secure messaging: blanchek@bbhcn.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1013426824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10705 CHARTER DR STE 430",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442870",
            "telephone_number": "301-259-3574",
            "fax_number": "301-235-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 OLD COURT RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082800",
            "telephone_number": "443-898-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTIE",
        "first_name": "BLANCHE",
        "middle_name": "CEFORA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R200901",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R200901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blanchek@BBHCN.org",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4000 Old Court Rd",
            "city": "Pikesville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212082800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

Verify at the official NPI Registry.