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

Kimberly A Blake, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1689626319

Kimberly A Blake, ANP is a Nurse Practitioner in Harrison, New York. Qualified in 1990, 36 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Licensed in
NY
In the registry since
2006

Practice location Address checks out

106 Calvert St
Harrison, NY 10528-3131
Phone: (914) 835-0073
Fax: (914) 835-1071
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F302529 (NY)

Record details

NPI number1689626319
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESJanuary 21, 2020
Certification dateJanuary 21, 2020
Mailing address106 Calvert St, Harrison, NY 10528-3131

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Harrison