MS. KIM NATALIE BLOCKER (NPI# 1104298462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104298462 |
| Entity Type | Individual |
| Full Name | MS. KIM NATALIE BLOCKER |
| Credential | CASAC-T |
| Practice Address |
14202 20th Ave Flushing NY 11351-3000 |
| Mailing Address |
14927 117th St South Ozone Park NY 11420-3906 |
| Practice Telephone | 1718771149 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | NY | Other Service Providers |
| Street Address |
14202 20TH AVE |
| City | FLUSHING |
| State | NY |
| Zip Code | 11351-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902007578 | Sadina L. Fischer | Registered Nurse | 14202 20th Ave, Flushing, NY 11351-3000 | 2007-05-30 |
| 1114528106 | Chartonnai Alexi Taylor | Social Worker | 14202 20th Ave, Flushing, NY 11351-3000 | 2020-11-05 |
| 1063020519 | Jeremy Allan James | Student in an Organized Health Care Education/Training Program | 14202 20th Ave, Flushing, NY 11351-3000 | 2020-07-21 |
| 1396364618 | Conor Ross Ohland | Counselor | 14202 20th Ave, Flushing, NY 11351-3000 | 2020-04-16 |
| 1205486933 | Elizabeth Morrison | Student in an Organized Health Care Education/Training Program | 14202 20th Ave, Flushing, NY 11351-3000 | 2019-09-15 |
| 1760032668 | Dominique Josephine Lippolis | Social Worker | 14202 20th Ave, Flushing, NY 11351-3000 | 2019-09-13 |
| 1417507369 | Jessica Asherian | Student in an Organized Health Care Education/Training Program | 14202 20th Ave, Flushing, NY 11351-3000 | 2019-09-12 |
| 1114573243 | Olivia Marie Delisa | Student in an Organized Health Care Education/Training Program | 14202 20th Ave, Flushing, NY 11351-3000 | 2019-08-14 |
| 1649823899 | Taylor Paige Logerfo | Student in an Organized Health Care Education/Training Program | 14202 20th Ave, Flushing, NY 11351-3000 | 2019-07-17 |
| 1841850344 | Merovee Georgette Kahouo | Registered Nurse | 14202 20th Ave, Flushing, NY 11351-3000 | 2019-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578087045 | Tiare Martinez | Student in an Organized Health Care Education/Training Program | 142-02 20th Avenue Flushing, Flushing, NY 11351 | 2017-07-27 |
| 1285156919 | Anita Elaine Robinson | Peer Specialist | 142-02 20 3rd Floor, Flushing, NY 11351 | 2017-07-14 |
| 1386008795 | Denise Dougherty | Case Manager/Care Coordinator | 142-02 20th Ave, Flushing, NY 11351 | 2016-04-12 |
| 1386019149 | Mary F. Raggio | Peer Specialist | 142-02 20th Avenue 3rd Floor, Psch, Flushing, NY 11351 | 2015-12-04 |
| 1518338607 | Kirby Goldberg | Student in an Organized Health Care Education/Training Program | 142-02 20th Avenue, The Pederson-krag Center, Flushing, NY 11351 | 2015-10-14 |
| 1356748362 | Coraine Coretta Burgess I | Registered Nurse | 14202 20th Avenue, Flushing, NY 11351 | 2014-11-20 |
| 1457838856 | Rachel Schaller | Student in an Organized Health Care Education/Training Program | 14202 20th Ave Fl 3, Flushing, NY 11351 | 2018-07-27 |
| 1154812469 | Samantha Nisi | Student in an Organized Health Care Education/Training Program | 142-02 20th Avenue, Flushing, NY 11351 | 2018-05-22 |
| 1942791520 | Judith Elaine Utting | Registered Nurse | 142-02 20th Ave, Flushing, NY 11351 | 2018-05-19 |
| 1174022156 | Jonathan Sem | Student in an Organized Health Care Education/Training Program | 142-02 20th Avenue, Flushing, NY 11351 | 2018-02-06 |
| Find all providers in zip 11351 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285156919 | Anita Elaine Robinson | Peer Specialist | 142-02 20 3rd Floor, Flushing, NY 11351 | 2017-07-14 |
| 1386019149 | Mary F. Raggio | Peer Specialist | 142-02 20th Avenue 3rd Floor, Psch, Flushing, NY 11351 | 2015-12-04 |
| 1245604735 | Amee Jahkwa Gamadeku | Peer Specialist | 14202 20th Ave # Ny11351, Flushing, NY 11351-3000 | 2015-11-20 |
| 1164896049 | Donald Gobin Jr. | Peer Specialist | 142-02 20th Ave., Flushing, NY 11351-4436 | 2015-11-16 |
| 1366977829 | Lori Lee Purificato | Peer Specialist | 14202 20th Ave, Flushing, NY 11351-3000 | 2017-04-21 |
| 1154867117 | Sylvia Gonzalez | Peer Specialist | 14202 20th Ave, Flushing, NY 11351-3000 | 2017-01-16 |
| 1922464429 | Charles Bailey Jr. | Peer Specialist | 14202 20th Ave, Flushing, NY 11351-3000 | 2016-01-13 |
| 1306219878 | Tiani Jay | Peer Specialist | 14202 20th Ave, Flushing, NY 11351 | 2015-11-05 |
| 1346612314 | Anthony Thomas | Peer Specialist | 14202 20th Ave, Flushing, NY 11351-3000 | 2015-10-29 |
| 1225407893 | Reuven Klappholz | Peer Specialist | 14202 20th Ave, Flushing, NY 11351-3000 | 2015-09-24 |
| Find all providers in FLUSHING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.