Individual provider Active NPI

Catherine Lee Blaser, RN, PHN, ACRN

  • Registered Nurse
  • San Diego, CA
National Provider Identifier
1316292782
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
768016 Issued in CA
Practice address
1054 Emerald St
San Diego, CA 92109-2814
Phone
(781) 987-4541
NPI assigned
Jul 20, 2012
Last updated
Jul 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 768016 CA Primary

Addresses

Primary practice location

1054 Emerald St
San Diego, CA 92109-2814

Mailing address

PO Box 9215
San Diego, CA 92169-0215
Phone (781) 987-4541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
768016CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1316292782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9215",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921690215",
            "telephone_number": "781-987-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 EMERALD ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092814",
            "telephone_number": "781-987-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASER",
        "first_name": "CATHERINE",
        "middle_name": "LEE",
        "credential": "RN, PHN, ACRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "768016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.