Active NPIIndividual providerSole proprietor

Emma K Blackwell, NP

Nurse Practitioner, Women's Health in Roxbury, Massachusetts

NPI Number1760261135
Practice location
45 Dimock St, Roxbury, MA 02119-1208
Fax
617-541-8334
Last updated
September 26, 2023

Emma Kavanaugh Blackwell is a Nurse Practitioner, Women's Health based in Roxbury, MA. Emma Kavanaugh Blackwell practices in Roxbury, MA and has the professional credentials of NP. The NPI Number for Emma Kavanaugh Blackwell is 1760261135 and holds a License No. RN2361944 (MA). The current practice location address for Emma Kavanaugh Blackwell is 45 Dimock St, Roxbury, MA 02119-1208 and can be reached out via phone at 617-442-8800 and via fax at 617-541-8334.

Provider Profile Details

NPI Number
1760261135
Provider Name
Emma Kavanaugh Blackwell
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
45 Dimock St, Roxbury, MA 02119-1208
Phone Number
617-442-8800
Fax Number
617-541-8334
Primary Taxonomy
Nurse Practitioner, Women's Health · 363LW0102X
Sole Proprietor
Yes
Provider Enumeration Date
September 26, 2023
Last Update Date
September 26, 2023
Certification Date
September 7, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Dimock St
Roxbury, MA 02119-1208
Zip
02119-1208
Phone Number
617-442-8800
Fax Number
617-541-8334
Roxbury, MA 02119Get directions →

Provider Business Mailing Address Details

Address
301 North St Apt 1
Boston, MA 02113-2141
City
Boston
State
MA
Zip
02113-2141
Phone Number
973-255-7790

License Information

License Number
RN2361944
License State
MA
Taxonomy
Nurse Practitioner, Women's Health · 363LW0102X · Primary

Legacy Identifiers

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

Other Nurse Practitioner, Women's Health providers near Roxbury, MA

View all Nurse Practitioner, Women's Health providers in Roxbury →

Frequently Asked Questions

What is the NPI number of Emma K Blackwell, NP?

The NPI number of Emma K Blackwell, NP is 1760261135. It was assigned on September 26, 2023 and is currently active in the NPPES registry.

What is the specialty of Emma K Blackwell, NP?

Emma K Blackwell, NP is registered under the primary taxonomy Nurse Practitioner, Women's Health (code 363LW0102X), licensed in MA under license number RN2361944.

Where does Emma K Blackwell, NP practice?

The practice location is 45 Dimock St, Roxbury, MA 02119-1208. The office can be reached at 617-442-8800 (phone) or 617-541-8334 (fax).

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 1760261135 directly on the NPPES registry website.

Browse related providers