Katherine Blizzard, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

26NP04426600 Issued in NJ

Practice address

62 Ashwood Ave
Summit, NJ 07901-3821

Phone

(800) 950-6066

NPI assigned

Oct 4, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1174711030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 ASHWOOD AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013821",
            "telephone_number": "800-950-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 ASHWOOD AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013821",
            "telephone_number": "800-950-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIZZARD",
        "first_name": "KATHERINE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP04426600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Gayle Bishop, M.DIV., PH.D.
• Megan Black, AGNP
• Mary Kelly Blakeslee, PH.D.
• Michael Blecker, MD
• Martin Paul Bleckner, DMD
• Reena Bloom, AUD
• Neil Sagar Bobba, MBBS
• Elisa Susan Bobrow, PH.D.
• John Bogojovski, FNP-BC
• Peter M Bolo, MD

• Licensed Practical Nurse in Summit, NJ
• Providers in Summit, NJ by specialty
• Licensed Practical Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.