Active NPIIndividual provider

Mrs. Melissa A Blackburn-Kierkla, NP

Nurse Practitioner, Pediatrics in Monson, Massachusetts

NPI Number1164461273
Practice location
218 Cedar Swamp RD, Monson, MA 01057-9307
Fax
—
Last updated
January 18, 2022

Melissa Ann Blackburn-Kierkla is a Nurse Practitioner, Pediatrics based in Monson, MA. Melissa Ann Blackburn-Kierkla practices in Monson, MA and has the professional credentials of NP. The NPI Number for Melissa Ann Blackburn-Kierkla is 1164461273 and holds a License No. 200805 (MA). The current practice location address for Melissa Ann Blackburn-Kierkla is 218 Cedar Swamp RD, Monson, MA 01057-9307 and can be reached out via phone at 413-237-3232.

Provider Profile Details

NPI Number
1164461273
Provider Name
Melissa Ann Blackburn-Kierkla
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
218 Cedar Swamp RD, Monson, MA 01057-9307
Phone Number
413-237-3232
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
June 5, 2006
Last Update Date
January 18, 2022
Certification Date
January 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
218 Cedar Swamp RD
Monson, MA 01057-9307
City
Monson
Zip
01057-9307
Phone Number
413-237-3232
Monson, MA 01057Get directions →

Provider Business Mailing Address Details

Address
218 Cedar Swamp RD
Monson, MA 01057-9307
City
Monson
State
MA
Zip
01057-9307
Phone Number
413-237-3232

License Information

License Number
200805
License State
MA
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Melissa A Blackburn-Kierkla, NP?

The NPI number of Mrs. Melissa A Blackburn-Kierkla, NP is 1164461273. It was assigned on June 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Melissa A Blackburn-Kierkla, NP?

Mrs. Melissa A Blackburn-Kierkla, NP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number 200805.

Where does Mrs. Melissa A Blackburn-Kierkla, NP practice?

The practice location is 218 Cedar Swamp RD, Monson, MA 01057-9307. The office can be reached at 413-237-3232 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164461273 directly on the NPPES registry website.

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