Active NPI
Mary Hope Blase, APRN CNS
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Washington, DC
National Provider Identifier
1568627735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- RN1013292
- Practice address
- 2100 Pennsylvania Ave NW Ste W
Kaiser Permanente West End Medical Center
Washington, DC 20037-3227 - Phone
- (202) 872-7000
- NPI assigned
- Jul 27, 2008
- Last updated
- Dec 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | RN1013292 | DC | Primary |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 0015000690 | VA | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | AC000548 | MD |
Addresses
Primary practice location
2100 Pennsylvania Ave NW Ste W
Kaiser Permanente West End Medical Center
Washington, DC 20037-3227
Mailing address
2101 E Jefferson St
Kaiser Permanente Medicare Enrollment
Rockville, MD 20852-4908
Phone (301) 816-2424
Other names 1
- Miss Mary Hope Collins
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)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC000548 | MD | MD | Adult Psychiatric/Mental Health Registered Nurse |
| 0015000690 | VA | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1568627735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 E JEFFERSON ST",
"address_2": "KAISER PERMANENTE MEDICARE ENROLLMENT",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524908",
"telephone_number": "301-816-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 PENNSYLVANIA AVE NW STE W",
"address_2": "KAISER PERMANENTE WEST END MEDICAL CENTER",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200373227",
"telephone_number": "202-872-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLASE",
"first_name": "MARY",
"middle_name": "HOPE",
"name_prefix": "Mrs.",
"credential": "APRN CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-27",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "DC",
"license": "RN1013292",
"primary": true
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "VA",
"license": "0015000690",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "MD",
"license": "AC000548",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "COLLINS",
"middle_name": "HOPE",
"prefix": "MISS",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.