NPI Code Detail JSON Logo

1053289116 NPI number — KATHLEEN BLOOD LPN

NPI Number: 1053289116
Health Care Provider/Practitioner: KATHLEEN BLOOD LPN

Information about “1053289116” NPI (KATHLEEN BLOOD LPN) exists in 1053289116 in HTML format HTML  |  1053289116 in plain Text format TXT  |  1053289116 in PDF (Portable Document Format) PDF  |  1053289116 in an XML format XML  formats.

NPI Number : 1053289116 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053289116",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BLOOD",
    "FirstName": "KATHLEEN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "40 CHAPEL ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SHIRLEY",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01464-2674",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "978-660-0787",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "155 AIRPORT RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FITCHBURG",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01420-8142",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "978-516-2414",
    "PracticeLocationAddressFaxNumber": "978-345-3947",
    "EnumerationDate": "10/29/2025",
    "LastUpdateDate": "10/29/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "164W00000X",
        "TaxonomyName": "Licensed Practical Nurse",
        "LicenseNumber": "LN59625",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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