Kathleen Siobhan Bleakney-Hanlon, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

099.0087995 Issued in VT

Practice address

734 Montauk Hwy
Bayport, NY 11705-1621

Phone

(631) 394-0399

NPI assigned

Mar 27, 2018

Last updated

Mar 27, 2018By the provider in NPPES

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1679078240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 S COUNTRY RD",
            "city": "E PATCHOGUE",
            "state": "NY",
            "postal_code": "117725454",
            "telephone_number": "631-394-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 MONTAUK HWY",
            "city": "BAYPORT",
            "state": "NY",
            "postal_code": "117051621",
            "telephone_number": "631-394-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEAKNEY-HANLON",
        "first_name": "KATHLEEN",
        "middle_name": "SIOBHAN",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099.0087995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayport-Blue Point Union Free School District
• Jason Robert Behar, D.P.M
• Jonathan E. Belmonte, DPT
• Kimberly Benson, LCSW
• Gary Bharath II
• Santina Bloom
• Matthew Botros, DPT
• Adrian Fields Boyer, MS, LMHC
• Jessica Brooks
• Alexandra Elizabeth Brown

• Naturopath in Bayport, NY
• Providers in Bayport, NY by specialty
• Naturopath in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.