MRS. CATHERINE L BLAKE (NPI# 1366560773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366560773 |
| Entity Type | Individual |
| Full Name | MRS. CATHERINE L BLAKE |
| Credential | APN CNP |
| Practice Address |
1848 Daimler Rd Rockford IL 61112-1019 |
| Mailing Address |
1615 Macarthur Dr Rockford IL 61108-6153 |
| Practice Telephone | 8152292500 |
| Practice Fax Number | 8153161881 |
| Mailing Telephone | 8152268084 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659739274 | Catherine Macdonald Blake | Counselor | 10960 W 65th Way, Arvada, CO 80004-2717 | 2016-02-10 |
| 1629466024 | Catherine Blake | Physical Therapist | 6180 Brockton Ave Ste 102, Riverside, CA 92506-2259 | 2015-01-07 |
| Street Address |
1848 DAIMLER RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61112-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790741049 | Mark Edwin Carlson | Specialist | 1848 Daimler Rd, Rockford, IL 61112-1019 | 2006-04-25 |
| 1811303217 | Kelly L Magoon | Physician Assistant | 1848 Daimler Rd, Rockford, IL 61112-1019 | 2014-07-07 |
| 1649444548 | Regional Cardiology Consultants Ltd | Specialist | 1848 Daimler Rd, Rockford, IL 61112-1019 | 2008-04-22 |
| 1750450243 | Vanessa Ann Dal Pra Wochner | Physical Therapist | 1848 Daimler Rd, Rockford, IL 61112-1019 | 2006-11-07 |
| 1245342666 | Carlson Orthopedic Clinic Sc | Specialist | 1848 Daimler Rd, Rockford, IL 61112-1019 | 2006-08-31 |
| 1013930353 | Physician Associates Limited | Family Medicine | 1848 Daimler Rd, Rockford, IL 61112-1019 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215213475 | Matthew Caleb Beary | Physical Therapist | 1545 Temple Lane, Rockford, IL 61112 | 2011-11-01 |
| 1730469206 | Herman Chen | Pharmacist | 2206 Barnes Blvd, Rockford, IL 61112 | 2011-08-27 |
| 1598850273 | Charles W Matty | Dentist | 1855 Daimler Rd, Rockford, IL 61112 | 2006-10-04 |
| 1942317607 | James Edward Nijoka | Dentist | 1855 Daimler Road, Rockford, IL 61112 | 2006-08-25 |
| 1053366591 | Vincent R Facchiano | Optometrist | E265 Cherryvale Mall, Rockford, IL 61112 | 2006-05-23 |
| 1780616029 | Daniel Gordon Thorstenson | Chiropractor | 1877 Daimler Rd, Rockford, IL 61112-1005 | 2006-07-07 |
| 1760800221 | Brock Stephen Field | Chiropractor | 1877 Daimler Rd, Rockford, IL 61112-1005 | 2014-04-02 |
| 1629366489 | Craig Anthony Stear Jr. | Chiropractor | 1877 Daimler Rd, Rockford, IL 61112-1005 | 2011-07-14 |
| 1104931427 | Hulsebus Rockford Chiropractic | Chiropractor | 1877 Daimler Rd, Rockford, IL 61112-1005 | 2006-08-19 |
| 1215958970 | Michael John Hulsebus | Chiropractor | 1877 Daimler Rd, Rockford, IL 61112-1005 | 2006-07-21 |
| Find all providers in zip 61112 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427352277 | Joyce Elaine Cain | Nurse Practitioner | 555 N Court St, Rockford, IL 61103-6862 | 2011-01-07 |
| 1255430062 | Suzanne E. Wang | Nurse Practitioner | 4940 East State Street, Rockford Veterans Administration Out Patient Clinic, Rockford, IL 61109 | 2006-09-21 |
| 1992108666 | Marie Gonzalez | Nurse Practitioner | 1200 W State St, Rockford, IL 61102-2112 | 2014-10-08 |
| 1164740742 | Susan Hugo Hudson | Nurse Practitioner | 1401 E State St, Rockford, IL 61104-2315 | 2010-05-06 |
| 1831223593 | Shelley A Rosander | Nurse Practitioner | 973 Featherstone Rd, Suite 100, Rockford, IL 61107-5912 | 2007-03-15 |
| 1770596751 | Vicki L Beck | Nurse Practitioner | 1200 W State St, Rockford, IL 61102-2112 | 2006-08-14 |
| 1457397341 | Karen Naleway | Nurse Practitioner | 1200 W State St, Rockford, IL 61102-2112 | 2006-06-21 |
| 1790760080 | Kelly D Rosenberger | Nurse Practitioner | 1221 E State St, Rockford, IL 61104-2231 | 2005-12-09 |
| 1841274966 | Jan Simone | Nurse Practitioner | 1200 W State St, Rockford, IL 61102-2112 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455306 | Megan Bishoff | Nurse Practitioner | 880 W Central Rd Ste 6200, Arlington Heights, IL 60005-2378 | 2020-10-21 |
| 1881292019 | Dana Beth Yednock | Nurse Practitioner | 1444 E Broadway St, Streator, IL 61364-2535 | 2020-10-10 |
| 1154959864 | Jennifer Marie Nieves | Nurse Practitioner | 34 E Oak St Ste 6, Chicago, IL 60611-1231 | 2020-03-29 |
| 1093340275 | Nicole Price | Nurse Practitioner | 3717 N Ravenswood Ave Ste 213, Chicago, IL 60613-4098 | 2020-03-07 |
| 1497318372 | Rachael Elizabeth Thomas | Nurse Practitioner | 333 S Desplaines St Ste 201, Chicago, IL 60661-5514 | 2019-04-17 |
| 1700358025 | Cassandra Marie Johnson | Nurse Practitioner | 636 Hampshire St Ste 201, Quincy, IL 62301-3054 | 2018-12-27 |
| 1063990588 | Lisa Hammons | Nurse Practitioner | 14470 S La Grange Rd, Orland Park, IL 60462-2630 | 2018-08-06 |
| 1750874459 | Valerie Wezran | Nurse Practitioner | 3 Ontario St Apt 1, Oak Park, IL 60302-2573 | 2018-06-08 |
| 1033626262 | Heather Ann San Juan | Nurse Practitioner | 613 S Poplar Ave, Elmhurst, IL 60126-4061 | 2018-01-09 |
| 1124530340 | Kristy Wienstroer | Nurse Practitioner | 1191 Fortune Blvd, Shiloh, IL 62269-7377 | 2017-10-27 |
| 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.