Katie Blazusiak

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

SP015421 Issued in PA

Practice address

1565 Linden St
Bethlehem, PA 18017-4744

Phone

(610) 867-5365

Fax

(610) 867-5366

NPI assigned

Oct 1, 2015

Last updated

Mar 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ABBGBD/Endpoint/ABBGBD

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.

• Novus Adult Care Services Inc.

  • Adult Health Nurse Practitioner
  • Bethlehem, PA
  • NPI 1679931349
  Medicare reassignment NPD
• Lehigh Valley Physician Group

  dba LVPG Developmental Pediatrics

  • Developmental - Behavioral Pediatrics Physician
  • Allentown, PA
  • NPI 1780155689
  Medicare reassignment
• Lehigh Valley Physician Group

  dba LVPG Family and Internal Medicine - East Stroudsburg

  • Family Medicine Physician
  • East Stroudsburg, PA
  • NPI 1245093368
  NPD
• Lehigh Valley Physician Group

  dba Childrens Clinic at LVH

  • Pediatrics Physician
  • Allentown, PA
  • NPI 1285893545
  NPD
• Lehigh Valley Physician Group

  • Transplant Surgery Physician
  • Allentown, PA
  • NPI 1457309650
  NPD
• Novus Pharmacy Services

  • Pharmacy
  • Bethlehem, PA
  • NPI 1811567779
  NPD

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1033589205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 LINDEN ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180174744",
            "telephone_number": "610-867-5365",
            "fax_number": "610-867-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 LINDEN ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180174744",
            "telephone_number": "610-867-5365",
            "fax_number": "610-867-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZUSIAK",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP015421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Blackham, PH.D., LMFT
• Nancy Jane Blaha, LCSW BCD
• Britani Blahoski, RN
• Patrick T Blanchfield, M.D.
• Blaire Blaufarb, MS CCC-SLP/L
• Jennifer Lee Bleiler, L.P.C.
• Peter Robert Blessington, DMD
• Andrea Jane Bloch, DO
• Kindra Block, MA CCC SLP
• Maxine Ama Blohowiak, ATC

• Gerontology Nurse Practitioner in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Gerontology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.