Individual provider Active NPI

Erin Blasko

  • Nurse Practitioner
  • Somerset, KY
National Provider Identifier
1669846309
Registry record updated Mar 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP Issued in KY
Practice address
50 Medpark Dr
Somerset, KY 42503-4730
Phone
(606) 678-0599
NPI assigned
Nov 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP KY Primary

Addresses

Primary practice location

50 Medpark Dr
Somerset, KY 42503-4730

Mailing address

50 Medpark Dr
Somerset, KY 42503-4730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151201000958 KY Practitioner - Nurse Practitioner 7719287515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Cumberland Cardiology Associates LLCGroup PAC ID 5092854034, 7 clinicians

Practice addresses (Care Compare)

120 Tradepark Dr
Somerset, KY 42503-3454
Phone (606) 678-0599

Hospital & facility affiliations

  • Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NPKYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amin'S Family Practice Associates , PSC CurrentSince Nov 15, 2015 Accepting new patients
Lake Cumberland Cardiology Associates LLC Nurse Practitioner CurrentSince Sep 14, 2020 Accepting new patients
Apogee Medical Group Kentucky PSC Nurse Practitioner PastSince Sep 14, 2020 Accepting new patients

Locations

1505 S 7th St
Louisville, KY 40208
Phone (502) 637-1005

10100 Dixie Hwy
Louisville, KY 40272
Phone (502) 637-1005

7926 Preston Hwy
Ste 103
Louisville, KY 40219
Phone (502) 309-9811

305 Langdon St
Ste B
Somerset, KY 42503

50 Medpark Dr
Ste 1
Somerset, KY 42503

120 Tradepark Dr
Somerset, KY 42503
Phone (859) 263-4444

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: erin.blasko.1@21269.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616889600000",
    "number": "1669846309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEDPARK DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425034730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEDPARK DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425034730",
            "telephone_number": "606-678-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASKO",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.