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

Individual provider Physician Assistant · NPI 1760001549

Katherine Blake Andersen is a Physician Assistant in Boston, Massachusetts. Graduated from Tufts University School of Medicine in 2021, 5 years ago. Practices with Dana-Farber Cancer Institute, Inc, a 668-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
5
Trained at
Tufts University School of Medicine
Licensed in
MA
In the registry since
2020
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Practice location Address checks out

450 Brookline Ave
Boston, MA 02215-5450
Phone: (617) 632-3000
Fax: (617) 278-6965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA7970 (MA)

Record details

NPI number1760001549
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2020
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023
Mailing address450 Brookline Ave, Boston, MA 02215-5450

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Dana-Farber Cancer Institute, Inc. — 668 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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