Kimberly Blend, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

9164246 Issued in FL

Practice address

1911 Manatee Ave E
Suite 102
Bradenton, FL 34208-1557

Phone

(941) 722-5600

Fax

(941) 722-5644

NPI assigned

Apr 19, 2007

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 FL

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

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

• Blend Institute LLC

  • Specialist
  • Bradenton, FL
  • NPI 1730410010
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1356568729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 MANATEE AVE E",
            "address_2": "SUITE 102",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081557",
            "telephone_number": "941-722-5600",
            "fax_number": "941-722-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 MANATEE AVE E",
            "address_2": "SUITE 102",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081557",
            "telephone_number": "941-722-5600",
            "fax_number": "941-722-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEND",
        "first_name": "KIMBERLY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9164246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmon E Bland, MA, LMHC
• Christopher Brian Blank, ATC, LAT
• Jessica Ann Blatzer, PHARMD
• Philip A Blaustein, MD
• Blend Institute LLC
• Timothy Wayne Blend, MD
• Carla M Blethen, OTA
• Lori A. Blondell, P.T.
• Bloommind Behavioral Growth LLC
• Kimberly C Bloski

• Psychiatric/Mental Health Nurse Practitioner in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.