Alicia Kathleen Blythe, CNP
Nurse Practitioner, Acute Care in Boston, MA. Individual provider (NPI-1).
NPI number1770050007
StatusActive
Last updated in NPPESApr 4, 2019
Details
- NPI
- 1770050007
- Entity type
- Individual (NPI-1)
- Name
- Alicia Kathleen Blythe
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2018
- Last updated
- Apr 4, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | RN2304432 | MA | Yes |
Practice location
110 Francis St Ste 5aBoston, MA 02215-5566
Phone 617-632-7827 · Fax 617-632-7840
Mailing address
110 Francis St Ste 5aBoston, MA 02215-5566
Phone 617-632-7827 · Fax 617-632-7840
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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