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

Kyle Lynn Blomberg

Individual provider Family Nurse Practitioner · NPI 1689143802

Kyle Lynn Blomberg is a Nurse Practitioner in Branford, Connecticut. Qualified in 2018, 8 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
8
Licensed in
CT
In the registry since
2018
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Practice location Address checks out

500 E Main St Ste 212
Branford, CT 06405-2937
Phone: (203) 481-5665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 E Main St Ste 212, Branford, CT 06405-2937 — (203) 481-5665

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 7863 (CT)

Record details

NPI number1689143802
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 16, 2018
Last updated in NPPESNovember 16, 2018
Mailing address500 E Main St Ste 212, Branford, CT 06405-2937

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Branford