Kathleen Rose Blair, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

R027460 Issued in SD

Practice address

820 E 29TH St
South Sioux City, NE 68776-3344

Phone

(402) 494-3916

NPI assigned

Jan 27, 2021

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1366033946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 WAR EAGLE DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511091700",
            "telephone_number": "712-224-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E 29TH ST",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763344",
            "telephone_number": "402-494-3916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4230War Eagle Drive",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511095110",
            "country_code": "US",
            "telephone_number": "712-224-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "KATHLEEN",
        "middle_name": "ROSE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, School",
            "state": "SD",
            "license": "R027460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chemane Gaye Berger, CMA
• Kelley Mae Bertrand
• Bethink
• Stacy Ann Bianchini
• Tamera R Binder, PA-C
• Laurie Ann Blakney
• Emily Bloomquist, B.S
• Samantha Bose
• Sara Boulware, ED.S., NCSP
• Charlette Bowens Kissi Afar

• School Registered Nurse in South Sioux City, NE
• Providers in South Sioux City, NE by specialty
• School Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.