Kristine M Blanche, PA
Individual provider Active NPI Medical Physician Assistant · Key Largo, FL
NPI 1861442287 · NPPES record last updated Nov 17, 2021
Key facts
- NPI
- 1861442287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 009513 (NY)
- Practice address
- 24 Sunset Cay Rd
Key Largo, FL 33037-3726 - Phone
- (516) 312-1972
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective May 21, 2019 through May 21, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9114782 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathryn Calabria, DO,PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9114782 | FL | |
| Medical Physician Assistant | 363AM0700X | 009513 | NY | Yes |
| Surgery Physician | 208600000X | 009513 | NY |
Addresses
Primary practice location
24 Sunset Cay Rd
Key Largo, FL 33037-3726
Mailing address
24 Sunset Cay Rd # Orc
Key Largo, FL 33037-3726
Phone (516) 312-1972
Other practice location 1
140 Willow Ave
Huntington, NY 11743-4206
Phone (516) 676-0200
Other providers in Key Largo, FL
- Travis W Bennett
- Paul E. Berger
- Laura Christine Berni
- BHS of Key Largo LLC
- Norbert Birnbaum
- Blue Paradise Healthcare LLC
- James J. Boilini
- Cindie Boosin
- Boros, Berger and Associates
- Bruce L Boros MD PA
All providers in Key Largo, FL · Medical Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.