Kathryn Blum, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

155045 Issued in MA

Practice address

125 Parker Hill Ave
Roxbury Crossing, MA 02120-2847

Phone

(617) 754-5987

Fax

(617) 754-6438

NPI assigned

Jul 22, 2009

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1720218951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ALBION PL",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592121",
            "telephone_number": "617-835-1467",
            "fax_number": "617-527-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PARKER HILL AVE",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021202847",
            "telephone_number": "617-754-5987",
            "fax_number": "617-754-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "KATHRYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "155045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Bartz, M.D.
• Frederick Calvin Basilico, M.D.
• Sheila Baudin
• Donald Bearden, PHD
• Sarah Kate Bearman, PH.D.
• Joanna Dorota Kolakowska Bolalek, MSW, LCSW
• Priscilla Dunn Bolte, NP RN
• Meryn Rita Boraski, CRNA
• Boston Cardiovascular Associates, P.C.
• Boston Hematology & Oncology

• Adult Health Nurse Practitioner in Roxbury Crossing, MA
• Providers in Roxbury Crossing, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.