Individual provider Active NPI

Kara Dione Blattman, OTRL

  • Occupational Therapist
  • Albuquerque, NM
National Provider Identifier
1861560559
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1819 Issued in NM
Practice address
2302 Campbell Rd NW
Albuquerque, NM 87104-3205
Phone
(505) 459-3898
Fax
(505) 243-6570
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1819 NM Primary

Addresses

Primary practice location

2302 Campbell Rd NW
Albuquerque, NM 87104-3205

Mailing address

2302 Campbell Rd NW
Albuquerque, NM 87104-3205
Phone (505) 459-3898

Other identifiers 1

IdentifierTypeStateIssuer
69453519MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1819NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kara Blattman Therapy Services,P.C. Occupational Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1861560559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 CAMPBELL RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871043205",
            "telephone_number": "505-459-3898",
            "fax_number": "505-243-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 CAMPBELL RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871043205",
            "telephone_number": "505-459-3898",
            "fax_number": "505-243-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATTMAN",
        "first_name": "KARA",
        "middle_name": "DIONE",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "1819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69453519",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.