Kara M Blackwell, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LN62440 Issued in MA

Practice address

12 Pine Grove Circle
Mashpee, MA 02649

Phone

(508) 728-1854

NPI assigned

Nov 19, 2012

Last updated

Nov 19, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1972847689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254",
            "city": "EAST SANDWICH",
            "state": "MA",
            "postal_code": "025370254",
            "telephone_number": "508-728-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PINE GROVE CIRCLE",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "02649",
            "telephone_number": "508-728-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "KARA",
        "middle_name": "M",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN62440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marybeth Ann Bernier
• Marissa J Biederman, LICSW
• Bio-Medical Applications of Massachusetts, Inc. (Fresenius Medical Care Mashpee)
• Skylar Bird
• Lauren Elizabeth Black, DMD
• Blue Lotus Behavioral Health and Wellness Inc
• Blue Lotus Integrative Health and Wellness LLC
• John S. Bonino
• Jinal Vinodkumar Bordiya
• Tiffany Elizabeth Borsari, PA-C

• Licensed Practical Nurse in Mashpee, MA
• Providers in Mashpee, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.