Internal Medicine in ALBUQUERQUE, NM
Last Updated on : Jan 05,2010
KATHLEEN BLAKE is an Internal Medicine provider in ALBUQUERQUE, United States. Her medical specialization is Internal Medicine with a focus in Clinical Cardiac Electrophysiology.
1649272808 is NPI number of KATHLEEN BLAKE.
KATHLEEN BLAKE's primary taxonomy code based on NPI Lookup is 207RC0001X with license number 88-7. This taxonomy code refers to Internal Medicine.
KATHLEEN BLAKE has more than 17 years of experience.
KATHLEEN BLAKE current practice location address is PO BOX 8387, ALBUQUERQUE, NM. KATHLEEN BLAKE can be reached out via phone at 505-841-1000 and via fax at 505-843-2853 .
You can also correspond with KATHLEEN BLAKE through mail at mailing address 502 ELM ST NE, ALBUQUERQUE, NM, United States. Mailing address contact number is 505-841-1000.
The enumeration date of KATHLEEN BLAKE is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 13 years ago.Basic NPI information of KATHLEEN BLAKE (NPI 1649272808) is provided below.
Name | KATHLEEN BLAKE |
---|---|
National Provider Id (NPI) | 1649272808 |
Entity Type | Individual |
Gender | F |
Credential | MD |
Practice Address | PO BOX 8387,
ALBUQUERQUE, NM, United States |
Practice Telephone | 505-841-1000 |
Practice Fax Number | 505-843-2853 |
Mailing Address | 502 ELM ST NE ,
ALBUQUERQUE, NM, United States |
Mailing Telephone | 505-841-1000 |
Mailing Fax Number | 505-843-2853 |
Enumeration Date | 01-Jun-2005 |
Last Updated Date | 05-Jan-2010 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Internal Medicine, Clinical Cardiac Electrophysiology | 88-7 | NM |
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internal Medicine, Cardiovascular Disease | 88-7 | NM |
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
03194 | MEDICAID (05) | NM | |
C04246 | MEDICARE UPIN (02) | NM |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1265764229 | BRONWYN K WILLIS | Occupational Therapist | 1201 ATRISCO DR SW,
ATRISCO ES ALBUQUERQUE, NEW MEXICO, United States Minor Outlying Islands |
02-Feb-2010 |
1548685936 | CHARLENE PACHECO | Behavior Analyst | 1218 GRIEGOS RD NW,
ALBUQUERQUE, NM, United States |
21-Feb-2014 |
1215345772 | LISA MARTINEZ | Family Medicine | 6100 PAN AMERICAN FREEWAY NE STE 200,
ALBUQUERQUE, NEW MEXICO, Mexico |
29-Jul-2014 |
1881901692 | AGAPITO PETE GONZALES | Counselor | 4401 MORRIS ST NE APT 288,
ALBUQUERQUE, NM, United States |
01-Sep-2010 |
1487710596 | CONNIE L KOSHEWA | Midwife | 21 GARDEN PARK CIR NW,
ALBUQUERQUE, NM, United States |
01-Jan-2007 |
1396802443 | BETH O'ROURKE | Social Worker, Clinical | 301 GRACELAND DR SE STE E,
ALBUQUERQUE, NM, United States |
01-Jan-2007 |
1215112909 | CAROLYN D. BENALLY | Physical Therapy Assistant | 1430 SAN CARLOS RD SW,
ALBUQUERQUE, NM, United States |
01-Jan-2008 |
1750627394 | ROBIN D JARRELL | Dietitian, Registered | 9204 MENAUL BLVD NE,
SUITE 1 ALBUQUERQUE, NM, United States |
01-Jan-2013 |
1386065738 | SAM ROTH | Registered Nurse | 406 RICHMOND DR SE,
ALBUQUERQUE, NM, United States |
01-Jan-2014 |
1124416953 | SUSAN GILLEN | Occupational Therapy Assistant | 3600 EUBANK BLVD NE,
UNIT 9B ALBUQUERQUE, NM, United States |
01-Jan-2015 |
1023096872 | STEVEN ANDREW WASHBURN | Counselor, Professional | 3901 GEORGIA ST NE,
SUITE B 2 ALBUQUERQUE, NM, United States |
03-Jan-2006 |
1821155862 | JULIAN LEV | Psychologist | PO BOX 760,
TIJERAS, NM, United States |
02-Jan-2007 |
1912064908 | ROSS WILLIAM DAVIDSON | Marriage & Family Therapist | 201 EUBANK BLVD NE,
SUITE D-2B ALBUQUERQUE, NM, United States |
02-Jan-2007 |
1447317243 | MICHAEL E TRUJILLO | Specialist/Technologist, Other | 201 CEDAR ST SE STE 6600,
ALBUQUERQUE, NM, United States |
02-Jan-2007 |
1235296021 | LUXOTTICA OF AMERICA INC. | Eyewear Supplier (Equipment, not the service) | 6600 MENAUL BLVD NE,
CORONADO CTR STE #M5A ALBUQUERQUE, NM, United States |
02-Jan-2007 |
1083771760 | LA FAMILIA, INC. | Community/Behavioral Health | 2400 WELLESLEY DR NE,
ALBUQUERQUE, NM, United States |
02-Jan-2007 |
1407913189 | SHARON L BERNSTEIN | Social Worker, Clinical | 2113 LA VETA DR NE,
ALBUQUERQUE, NM, United States |
02-Jan-2007 |
1881751410 | LUCAS CASUL | Internal Medicine | 8800 MONTGOMERY BLVD NE,
ALBUQUERQUE, NM, United States |
02-Jan-2007 |
1760549398 | TOTAL COMMUNITY CARE | PACE Provider Organization | 1555 SOUTH LAYTON BLVD,
MILWAUKEE, WI, United States |
02-Jan-2007 |
1396892881 | SHARON ELAINE GEE | Nurse Practitioner | 2903 ARNO NE,
ALBUQUERQUE, NM, United States |
05-Jan-2007 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1649272808 is the NPI number of KATHLEEN BLAKE.
What is the specialty for KATHLEEN BLAKE?The Specialty of KATHLEEN BLAKE is Internal Medicine.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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