Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emma Kavanaugh Blackwell, NP

Individual provider Women's Health Nurse Practitioner · NPI 1760261135

Emma Kavanaugh Blackwell, NP is a Nurse Practitioner in Roxbury, Massachusetts. Qualified in 2023, 3 years ago. Practices with Dimock Community Health Center, Inc, a 44-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

45 Dimock St
Roxbury, MA 02119-1208
Phone: (617) 442-8800
Fax: (617) 541-8334
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence RN2361944 (MA)

Record details

NPI number1760261135
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedSeptember 26, 2023
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Dimock Community Health Center, Inc. — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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