Individual provider Active NPI

Chana Miriam Blatter, M.ED., SPECIAL ED

  • Student in an Organized Health Care Education/Training Program
  • Brooklyn, NY
National Provider Identifier
1447793534
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
1078636161 Issued in NY
Practice address
162 Beaumont St
Brooklyn, NY 11235-4119
Phone
(347) 549-1290
NPI assigned
Nov 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 1078636161 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X 1078300161 NY

Addresses

Primary practice location

162 Beaumont St
Brooklyn, NY 11235-4119

Mailing address

162 Beaumont St
Brooklyn, NY 11235-4119
Phone (347) 549-1290

Other names 1

  • Mrs. Chana Miriam Axelrod Other name

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
Master of Education

State licenses

LicenseStateTypeSpecialty
1078300161NYMDStudent in an Organized Health Care Education/Training Program
1078636161NYMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1447793534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 BEAUMONT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354119",
            "telephone_number": "347-549-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 BEAUMONT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354119",
            "telephone_number": "347-549-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATTER",
        "first_name": "CHANA",
        "middle_name": "MIRIAM",
        "name_prefix": "Ms.",
        "credential": "M.ED., SPECIAL ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "1078636161",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "1078300161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANA",
            "last_name": "AXELROD",
            "middle_name": "MIRIAM",
            "prefix": "MRS.",
            "credential": "M.ED., SPECIAL ED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.