Blake James Kissane · Student in an Organized Health Care Education/Training Program

600 Elizabeth St, Corpus Christi, TX 78404-2235

Overview

Blake James Kissane is a Student in an Organized Health Care Education/Training Program practicing in Corpus Christi, Texas. The National Provider Identifier (NPI) is #1104613363, which was assigned on April 22, 2025, and the registration record was last updated on April 22, 2025. The practitioner's main practice location is at 600 Elizabeth St, Corpus Christi, TX 78404-2235; the contact telephone number is 3618813000. The primary taxonomy of Blake James Kissane is Student in an Organized Health Care Education/Training Program (390200000X).

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider Information

NPI 1104613363
Entity Type Individual
Provider Name BLAKE JAMES KISSANE
Gender Male
Credential DO
Practice Address 600 Elizabeth St
Corpus Christi
TX 78404-2235
Practice Telephone 3618813000
Mailing Address 600 Elizabeth St
Corpus Christi
TX 78404-2235
Certification Date 2025-04-22
Enumeration Date 2025-04-22
Last Update Date 2025-04-22
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y390200000XStudent in an Organized Health Care Education/Training Program

Taxonomy Information

Primary Taxonomy

Code 390200000X
Taxonomy Student in an Organized Health Care Education/Training Program
Classification Student in an Organized Health Care Education/Training Program
Grouping Student, Health Care
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Diana Sierra 2839 W 75th Ter, Hialeah, FL 33018-5313Student in an Organized Health Care Education/Training Program2025-10-11
Julaine Borchert 300 Beckon Ridge Rd, Selah, WA 98942-9295Student in an Organized Health Care Education/Training Program2025-10-11
Liz Casis-Flores 926 E Mcdowell Rd Ste 125, Phoenix, AZ 85006-2521Student in an Organized Health Care Education/Training Program2025-10-11
Russell Walter Anderson 101 E Redlands Blvd Ste 200, Redlands, CA 92373-4724Student in an Organized Health Care Education/Training Program2025-10-11
Mustafa A Alsabahi 310 N Riverpoint Blvd, Spokane, WA 99202-1610Student in an Organized Health Care Education/Training Program2025-10-11
Berly Rose Domingo 47915 Oasis St, Indio, CA 92201-6950Student in an Organized Health Care Education/Training Program2025-10-10
Brett Li 12605 E 16th Ave, Aurora, CO 80045-2545Student in an Organized Health Care Education/Training Program2025-10-11
Chinyem Michelle Isiekwena 2390 W Congress St, Lafayette, LA 70506-4205Student in an Organized Health Care Education/Training Program2025-10-11
Kellie Smith 4025 W 226th St, Torrance, CA 90505-2340Student in an Organized Health Care Education/Training Program2025-10-10
Kiara Brown 50 E North St, Buffalo, NY 14203-1002Student in an Organized Health Care Education/Training Program2025-10-10
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Location Information

Street Address 600 ELIZABETH ST
City CORPUS CHRISTI
State TX
Zip Code 78404-2235
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Ricardo Alejandro Verdin 600 Elizabeth St, Corpus Christi, TX 78404-2235Student in an Organized Health Care Education/Training Program2025-04-23
Prachi Shah 600 Elizabeth St, Corpus Christi, TX 78404-2235Student in an Organized Health Care Education/Training Program2025-05-13
Heidi L Schultz 600 Elizabeth St, Corpus Christi, TX 78404-2235Student in an Organized Health Care Education/Training Program2025-05-01
Hengji Zhang 600 Elizabeth St, Corpus Christi, TX 78404-2235Student in an Organized Health Care Education/Training Program2025-04-21
Willem Gervais 600 Elizabeth St, Corpus Christi, TX 78404-2235Student in an Organized Health Care Education/Training Program2025-04-18
Lauren W Obrien 600 Elizabeth St, Corpus Christi, TX 78404-2235Registered Nurse2025-09-10
Sahara Bueker 600 Elizabeth St, Corpus Christi, TX 78404-2235Student in an Organized Health Care Education/Training Program2025-05-19
Nicholas Noel Villalobos 600 Elizabeth St, Corpus Christi, TX 78404-2235Student in an Organized Health Care Education/Training Program2025-04-29
Shivani J Patel 600 Elizabeth St, Corpus Christi, TX 78404-2235Student in an Organized Health Care Education/Training Program2025-05-01
Homero De Jesus Coss Muniz 600 Elizabeth St, Corpus Christi, TX 78404-2235Student in an Organized Health Care Education/Training Program2025-04-30
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Joseph Raymond Jimenez 613 Elizabeth St, Suite 605, Corpus Christi, TX 78404-2220Anesthesiology Physician2005-08-24
Whitney Brooke Gauldin 613 Elizabeth St Ste 704, Corpus Christi, TX 78404-2231Nurse Practitioner2025-09-22
Lindsay Marie Rodriguez 1533 5th St, Corpus Christi, TX 78404-1901Family Nurse Practitioner2022-10-21
Raghujit Singh 718 Elizabeth St Fl 3, Corpus Christi, TX 78404-2212Specialist2005-06-23
Edison D Rodrigues 718 Elizabeth St Fl 3, Corpus Christi, TX 78404-2212Specialist2005-07-13
Ruth Kovner Gershon 1812 S Alameda St, Corpus Christi, TX 78404Diagnostic Radiology Physician2012-04-05
Kristine Eve Devens 939 Ayers St, Corpus Christi, TX 78404-1915Midwife2018-08-23
Rita Ellen Kingma 817 Ayers St, Corpus Christi, TX 78404-1914Social Worker2006-12-12
Hope Ladawn Greenwade 613 Elizabeth St Ste 804, Corpus Christi, TX 78404-2231Family Nurse Practitioner2023-11-29
James Christopher Connaughton 613 Elizabeth St Ste 502, Corpus Christi, TX 78404-2224Surgery Physician2006-07-11
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Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
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Nonese Fils-Aime Kissane 10745 Sw 146th St, Miami, FL 33176-7505Interpreter2025-05-24
Jessica Blake Woodard · Jessica Blake Stanger 2901 174th St Ne, Marysville, WA 98271-4743Nurse Practitioner2021-07-19
Alexis Renee Kissane 5739 Byron Anthony Pl Ste 1001, Sanford, FL 32771-8638Behavior Technician2023-10-13
Linda S. Kissane · Linda S. Solcyk Solcyk-Rice Etcheverry 1080 Hospital Dr Ste 5, St Johnsbury, VT 05819-6001Audiologist2007-02-27
Samantha Blake Borgida · Samantha Blake Arfin 2445 Holly Ave Apt 139, Annapolis, MD 21401-3992Clinical Social Worker2017-09-28
Blake Cross · Blake Toben 210 Church St, Saratoga Springs, NY 12866-1010Clinical Social Worker2016-05-03
Alexis Blake Cardenas · Alexis Blake Berry 4400 E Michigan Blvd, Michigan City, IN 46360-3189Speech-Language Pathologist2025-09-01
Cathalene Blake Christian · Cathalene Ann Blake 44330 Mercure Ci., Suite 240, Dulles, VA 20166Surgical Physician Assistant2007-05-22
Frank Thomas Kissane W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518Pharmacist2005-07-01

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.