CAROL BLAKE, MSN, RN, CNS, CRNFA, CNOR, PC (NPI# 1073678785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073678785 |
Entity Type | Organization |
Organization Name | CAROL BLAKE, MSN, RN, CNS, CRNFA, CNOR, PC |
Practice Address |
4091 E Nisbet Rd Phoenix AZ 85032-4767 |
Practice Telephone | 6029718588 |
Practice Fax Number | 6029713887 |
Mailing Telephone | 6029718588 |
Mailing Fax Number | 6029713887 |
Enumeration Date | 2006-12-22 |
Last Update Date | 2020-08-22 |
Authorized Official Name | CAROL BLAKE (PRESIDENT) |
Authorized Official Telephone | 6029718599 |
Authorized Official Credential | CNS, CRNFA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SP2800X |
Clinical Nurse Specialist Specialization: Perioperative |
RN036821 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4091 E NISBET RD |
City | PHOENIX |
State | AZ |
Zip Code | 85032-4767 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710926530 | Carol Blake | Clinical Nurse Specialist | 4091 E Nisbet Rd, Phoenix, AZ 85032-4767 | 2006-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
Find all providers in zip 85032 |
Taxonomy Code | 364SP2800X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Perioperative |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588643084 | Lana Louise Andersen | Clinical Nurse Specialist | 1802 W El Caminito Dr, Phoenix, AZ 85021-5257 | 2006-01-12 |
1598778078 | Stefan Farrell Rnfa, Pllc | Clinical Nurse Specialist | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2006-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275613960 | Stefan Brice Farrell | Clinical Nurse Specialist | 2251 N 32nd St Lot 16, Mesa, AZ 85213-2426 | 2006-10-17 |
1932145638 | Kathleen Renea Campbell | Clinical Nurse Specialist | 645 W Country Estates Ave, Gilbert, AZ 85233-8254 | 2006-06-21 |
1831177781 | Charlton Richard Covill | Clinical Nurse Specialist | 15629 E Sanoque Blvd, Chandler, AZ 85249-9421 | 2006-01-01 |
1215930730 | Kary L O'connor | Clinical Nurse Specialist | 1114 E Yucca St, Casa Grande, AZ 85222-1204 | 2005-05-30 |
1952799900 | Desert Ancillary Services Pllc | Clinical Nurse Specialist | 10115 E Bell Rd, Suite 107-508, Scottsdale, AZ 85260-2189 | 2014-12-29 |
1710143599 | Rebecca L Rodgers | Clinical Nurse Specialist | 500 N 56th St, Ste 5, Chandler, AZ 85226-2506 | 2008-07-31 |
Please comment or provide details below to improve the information on CAROL BLAKE, MSN, RN, CNS, CRNFA, CNOR, PC.
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.