Cheryl Blauth

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

01752 Issued in MA

Practice address

360 Huntington Ave
Northeastern Department of Athletics 219 Cabot Center
Boston, MA 02115-5005

Phone

(617) 373-4068

NPI assigned

Mar 22, 2007

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

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.

• University Health and Counseling Services

  • Student Health Clinic/Center
  • Boston, MA
  • NPI 1376758086
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578680906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTHEASTERN UNIVERSITY 219 CABOT CENTER",
            "address_2": "DEPARTMENT OF ATHLETICS",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 HUNTINGTON AVE",
            "address_2": "NORTHEASTERN DEPARTMENT OF ATHLETICS 219 CABOT CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155005",
            "telephone_number": "617-373-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAUTH",
        "first_name": "CHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "01752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Nathan Blatman, M.D.
• Joshua M. Blatt, D.P.T., A.T.C.
• Leah Blatt, PA-C
• Marc Isaac Blatt, MD MBA
• Robert O Blaustein, M.D.
• Dakota K Blauvelt, PA-C
• Philip Blazar, MD
• William V Blazek Jr., M.D.
• Patricia A. Blazewicz, NP
• Cameron Michael Blazoski, MD

• Athletic Trainer in Boston, MA
• Providers in Boston, MA by specialty
• Athletic Trainer in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.