Beth-Anne Blue, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY6990 Issued in FL

Practice address

1 Fletcher Dr.
SHCC
Gainesville, FL 32611-7500

Phone

(352) 392-1171

Fax

(352) 846-1030

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710918347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 NW 43RD ST",
            "address_2": "APT. H-60",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326062510",
            "telephone_number": "352-384-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FLETCHER DR.",
            "address_2": "SHCC",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326117500",
            "telephone_number": "352-392-1171",
            "fax_number": "352-846-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUE",
        "first_name": "BETH-ANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Shaquille Blount
• Karen Blount, OTR
• Xenia T Blount, ARNP
• Patricia Blubaugh, LMT
• Robin Bludworth, ANP-BC
• Renita Blue
• Kristen Elizabeth Blumberg, DMD
• Spencer Louis Blumberg, D.M.D., M.D.
• Nicole Rose Blumenstein, MD
• David C. Blumer, M.D.

• Psychologist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Psychologist in Florida

• 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.