NPIMap

Individual provider Active NPI

Catherine Mary Blackband, M.D.

  • Family Medicine Physician
  • Gainesville, FL
National Provider Identifier
1902820772
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME90058 Issued in FL
Practice address
3951 NW 48Thterrace
Suite 101
Gainesville, FL 32606-7229
Phone
(352) 265-5230
Fax
(352) 265-5230
NPI assigned
Jul 26, 2006
Last updated
May 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME90058 FL Primary

Addresses

Primary practice location

3951 NW 48Thterrace
Suite 101
Gainesville, FL 32606-7229

Mailing address

PO Box 100371
Gainesville, FL 32610-0371
Phone (352) 338-2195

Other identifiers 2

IdentifierTypeStateIssuer
44159ZOtherFLMEDICARE ID
270104900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040730000759 FL Practitioner - Family Practice 9032189527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

3951 NW 48TH Ter
Suite 101
Gainesville, FL 32606-7229
Phone (352) 265-5230

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Shands Teaching Hospital and Clinics Inc CurrentSince Sep 1, 2004 Accepting new patients
Shands Teaching Hospital and Clinics Inc CurrentSince Sep 1, 2004 Accepting new patients
Shands Teaching Hospital and Clinics Inc Past Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

3951 NW 48th Ter
Ste 101
Gainesville, FL 32606
Phone (352) 265-5230

Interoperability endpoints

  • Direct secure messaging: cblackband15675@direct.shands.ufl.edu

Organizations & group practices 4

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

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1902820772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100371",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100371",
            "telephone_number": "352-338-2195",
            "fax_number": "352-338-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 NW 48THTERRACE",
            "address_2": "SUITE 101",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067229",
            "telephone_number": "352-265-5230",
            "fax_number": "352-265-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBAND",
        "first_name": "CATHERINE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME90058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "44159Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270104900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.