Kimberly Welch Blay, DNP, CRNP-PC, IBCLC

Individual provider Active NPI Nurse Practitioner · Windsor Mill, MD

NPI 1972150019 · NPPES record last updated May 26, 2026

Key facts

NPI
1972150019
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
R187290 (MD)
Practice address
7001 Johnnycake Rd Ste 102
Windsor Mill, MD 21244-2419
Phone
(410) 744-5437
Fax
(410) 744-5436
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R187290MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mohsin Ansari MD Faap PC Past
since Mar 3, 2024
Accepting new patients
Mohsin Ansari MD Faap PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R187290 MD Yes

Addresses

Primary practice location

7001 Johnnycake Rd Ste 102
Windsor Mill, MD 21244-2419

Mailing address

7001 Johnnycake Rd Suite 102
Ellicott City, MD 21043
Phone (410) 744-5437

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address kblay@gbmc.org Health Information Exchange (HIE)

Other providers in Windsor Mill, MD

All providers in Windsor Mill, MD · Nurse Practitioner in Maryland

Sources for this page

Verify at the official NPI Registry.