Holly Susanne Blakley

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

752313 Issued in NY

Practice address

8 Highpoint Dr
Huntington, NY 11743-4408

Phone

(631) 402-2649

NPI assigned

Jan 31, 2022

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": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1508519422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HIGHPOINT DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434408",
            "telephone_number": "631-402-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HIGHPOINT DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434408",
            "telephone_number": "631-402-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKLEY",
        "first_name": "HOLLY",
        "middle_name": "SUSANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "752313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Philip Bisceglia, PT, DPT
• Biddy Sherman Bishop, MA, CRC, CDMS
• Michael Robert Bisogno, MD
• Adam Bitterman, D.O.
• Christine Marie Blaine, MD
• Lorna Blando, MD
• Kenneth Allen Blank, PSY.D.
• Bloom & Flourish Therapy
• Adam Harry Bloom, M.D.
• Joan Bloomgarden, MHC

• Registered Nurse in Huntington, NY
• Providers in Huntington, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.