Kathryn Blohm

Primary specialty

Child Mental Illness Respite CareTaxonomy code 385HR2055X

Practice address

11108 W Anthony Dr
Tucson, AZ 85743-9625

Phone

(520) 682-8559

NPI assigned

Nov 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1720152358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11108 W ANTHONY DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857439625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11108 W ANTHONY DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857439625",
            "telephone_number": "520-682-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOHM",
        "first_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "738487",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Douglas Block, MD
• Marcia Marie Block
• Randy Block, BS-HIS
• Mariah Blodgett, PMHNP
• Rubye Lee Bloeser, MA, CCC-SLP
• Barry David Blonder, O.D.
• Bloom Pediatric Therapy LLC
• Carena Bloom
• John Bloom, MD
• Kristen Bloom, CPHT

• Child Mental Illness Respite Care in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Child Mental Illness Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.