SARAH JO BLAKE (NPI# 1023576634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023576634 |
| Entity Type | Individual |
| Full Name | SARAH JO BLAKE |
| Credential | BSN |
| Practice Address |
2958 Pheasant Dr Casper WY 82604-4305 |
| Practice Telephone | 3072773781 |
| Mailing Telephone | 3072773781 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
25099 | WY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598202210 | Sarah Elizabeth Blake | Physical Therapy Assistant | 90 Humbert Ln Ste 1, Washington, PA 15301-6549 | 2017-01-20 |
| 1619003092 | Sarah Louise Blake | Anesthesiology | 3 Woodland Rd Ste 318, Stoneham, MA 02180-1713 | 2007-02-27 |
| 1205471810 | Sarah Blake | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2019-11-07 |
| 1508385667 | Sarah L Blake | Behavior Technician | 2989 Broadmoor Valley Rd Ste D, Colorado Springs, CO 80906-4403 | 2017-09-10 |
| 1356769079 | Sarah Frances Blake | Hospitalist | 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 | 2014-03-31 |
| 1104158989 | Sarah Blake | Speech-Language Pathologist | 2134 Old Ashland City Rd, Clarksville, TN 37043-4972 | 2010-02-04 |
| 1629139886 | Sarah Blake | Physician Assistant | 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 | 2006-12-12 |
| 1689606295 | Sarah Elizabeth Blake | Psychiatry & Neurology | 3600 Olentangy River Rd, Bldg 480, Columbus, OH 43214-3437 | 2006-07-06 |
| 1114958915 | Sarah Judith Blake | Social Worker | 10632 Little Patuxent Pkwy, Ste 100, Columbia, MD 21044-3273 | 2006-07-06 |
| Street Address |
2958 PHEASANT DR |
| City | CASPER |
| State | WY |
| Zip Code | 82604-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518489335 | Sasha Marie Baker | Behavior Technician | 945 Pendell Blvd, Casper, WY 82604 | 2017-07-13 |
| 1083161566 | Lori Norby | Registered Nurse | 6641 Monarch Ct, Casper, WY 82604 | 2016-09-01 |
| 1245601020 | Living for A Change LLC | Social Worker | 2045 Laramie Ave, Casper, WY 82604 | 2015-10-19 |
| 1225406754 | Patricia Masters | Respite Care | 6678 Bailey Place, Casper, WY 82604 | 2015-09-15 |
| 1619364437 | Daniel Dalen | Specialist/Technologist | 2342 Odell, Casper, WY 82604 | 2015-04-20 |
| 1568883064 | Rocky Mountain Holdings, LLC | Ambulance | 7798 Fuller St, Casper, WY 82604 | 2013-12-31 |
| 1902191638 | Diana Pauline Quealy-berge | Counselor | 3920 Swingle, Casper, WY 82604 | 2011-06-10 |
| 1093938839 | Kelly L Heenan | Counselor | 3741 Arroyo Drive, Casper, WY 82604 | 2007-04-10 |
| 1649393943 | Leslie Keeler | Case Manager/Care Coordinator | 630 10 Mile Road, Casper, WY 82604 | 2007-04-09 |
| 1386778223 | Wyoming Health Fairs | Technician, Pathology | 115 South Elm St, Casper, WY 82604 | 2007-03-15 |
| Find all providers in zip 82604 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033236054 | Mary Ann Lembke | Registered Nurse | 1522 E A St, Casper, WY 82601-2217 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144780560 | Christine Houlton | Registered Nurse | 555 E Broadway Ave Ste 220, Jackson, WY 83001-8640 | 2019-03-21 |
| 1598023061 | Trisha Rose | Registered Nurse | 10369 Hwy 789, Riverton, WY 82501-0240 | 2012-05-02 |
| 1003821455 | Catherine Louise Teasley | Registered Nurse | 7604 Ridge Rd, Cheyenne, WY 82009 | 2006-07-31 |
| 1790200012 | Carrie Sage Bentley | Registered Nurse | 625 E Madison Ave Ste 1, Riverton, WY 82501-4712 | 2017-08-08 |
| 1942755293 | Martha Vantassell | Registered Nurse | 311 Southern View Dr, Cheyenne, WY 82007-1605 | 2016-08-16 |
| 1063871762 | Laura Toppenberg | Registered Nurse | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2016-02-23 |
Please comment or provide details below to improve the information on SARAH JO BLAKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.