MRS. JUDITH A BLAKE-KRICKOVICH (NPI# 1255636288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255636288 |
| Entity Type | Individual |
| Full Name | MRS. JUDITH A BLAKE-KRICKOVICH |
| Credential | LPN |
| Practice Address |
5 Fort St Auburn Auburn NY 13021-3731 |
| Practice Telephone | 3157307353 |
| Mailing Telephone | 3157307353 |
| Enumeration Date | 2011-01-23 |
| Last Update Date | 2011-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
3645A2200X | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5 FORT ST AUBURN |
| City | AUBURN |
| State | NY |
| Zip Code | 13021-3731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631078 | Anthony Marino | Counselor | 319 Water St, Syacuse, NY 13021 | 2019-10-21 |
| 1205343811 | Cayuga County Community Health Network, Inc. | Community/Behavioral Health | 2119 W Genesee Street Rd, Auburn, NY 13021 | 2018-01-04 |
| 1427570365 | Sara K Gatewood | Licensed Practical Nurse | 124 Dawson Ave, Auburn, NY 13021 | 2017-07-12 |
| 1407385867 | Trisha Lee South | Registered Nurse | 278 Seymour St, Auburn, NY 13021 | 2017-06-08 |
| 1093263782 | Elizabeth Michelle Smith | Licensed Practical Nurse | 64 Cottage Street, Auburn, NY 13021 | 2016-09-12 |
| 1710360649 | Podiatry Services of Central New York, PC | Podiatrist | 171 Grant Ave, Auburn, NY 13021 | 2015-07-09 |
| 1518361484 | Edward J Currier | Counselor | 34 Wright Ave, Auburn, NY 13021 | 2014-10-21 |
| 1821499815 | Betsi Algar | Licensed Practical Nurse | 22 Scammell Ave, Auburn, NY 13021 | 2014-09-09 |
| 1235554734 | Jodi Saurini | Licensed Practical Nurse | 31 Anderson Circle, Auburn, NY 13021 | 2014-02-20 |
| 1124459896 | Bridget Reilly | Clinic/Center | 210 South Hoopes Ave, Auburn, NY 13021 | 2013-12-06 |
| Find all providers in zip 13021 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265974935 | Kit So | Clinical Nurse Specialist | 970 41st St Apt 6h, Brooklyn, NY 11219-1156 | 2016-11-13 |
| 1174974190 | Dexter Hanz Ang Yee | Clinical Nurse Specialist | 544 Beach 68th St, Far Rockaway, NY 11692-1316 | 2016-06-30 |
| 1609244037 | Thelma P Bryan | Clinical Nurse Specialist | 10 E 138th St Apt 7b, New York, NY 10037-2049 | 2015-09-02 |
| 1215336979 | Patricia Anne Buerkle | Clinical Nurse Specialist | 100 Center Drive, Sccf Jail Medical, Riverhead, NY 11971 | 2014-08-19 |
| 1568895514 | Stanislaus Dashawetz | Clinical Nurse Specialist | 236 Cragsmoor Rd, Cragsmoor, NY 12420-0344 | 2013-08-14 |
| 1992062921 | Harleen Bedi | Clinical Nurse Specialist | 270-05 69 Avenue, Interventional Radiology 2nd Floor, New Hyde Park, NY 11040 | 2012-04-16 |
| 1265706410 | Hsiaoping Chou | Clinical Nurse Specialist | 9233 53rd Avenue, Elmhurst, NY 11373-4624 | 2012-03-06 |
| 1861703662 | Patricia Mctigue | Clinical Nurse Specialist | 1220 Front Street, Uniondale, NY 11553-2049 | 2010-06-25 |
| 1649433723 | Carolyn Anne Holt | Clinical Nurse Specialist | 445 Saint Paul St, Medical, High Falls Brewing Co, Rochester, NY 14605-1775 | 2008-07-08 |
| 1346409885 | Alfred Michael Comerford | Clinical Nurse Specialist | 45 Park Drive, Rocky Point, NY 11778 | 2008-06-09 |
| Find all providers with the same taxonomy | ||||
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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.