ERICA KUKULKA BLAKE


Address: 2000 Sw Archer Rd, G1110, Gainesville, FL 32608-1136
Phone: 3522650111

ERICA KUKULKA BLAKE (NPI# 1225330178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225330178
Entity Type Individual
Full Name ERICA KUKULKA BLAKE
Credential MS, RD, LD/N
Practice Address 2000 Sw Archer Rd
G1110
Gainesville
FL 32608-1136
Mailing Address 1600 Sw Archer Rd
Gainesville
FL 32610-3003
Practice Telephone 3522650111
Enumeration Date 2010-11-29
Last Update Date 2010-11-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered ND5444 FL Dietary & Nutritional Service Providers

Other Providers ERICA BLAKE

NPI Name Taxonomy Address Enumeration
1770125338 Erica Blake Licensed Practical Nurse 901 Washington St, Portsmouth, OH 45662-3944 2019-10-15

Office Location

Street Address 2000 SW ARCHER RD
G1110
City GAINESVILLE
State FL
Zip Code 32608-1136

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407846330 Eric J Grieser Internal Medicine 2000 Sw Archer Rd, Suite 4500, Gainesville, FL 32608-1136 2005-10-23
1114531357 Cynthia Rodriguez Oberdan Social Worker 2000 Sw Archer Rd, Gainesville, FL 32608-1136 2020-09-04
1912565375 Jurate Lukosaityte Dietitian, Registered 2000 Sw Archer Rd, Gainesville, FL 32608-1136 2019-05-31
1922575380 Amelie Middlemas Nurse Practitioner 2000 Sw Archer Rd, Gainesville, FL 32608-1136 2018-10-24
1013408871 Seydel Yanitza Dubon Physician Assistant 2000 Sw Archer Rd, Gainesville, FL 32608 2018-05-28
1396236568 Christina Maria Eagan Nurse Practitioner 2000 Sw Archer Rd, Gainesville, FL 32608-1136 2018-05-23
1831695436 Sarah Joy Kelley Student in an Organized Health Care Education/Training Program 2000 Sw Archer Rd, Gainesville, FL 32608-1136 2018-04-03
1316487176 Gary V Atkins Nurse Practitioner 2000 Sw Archer Rd, Gainesville, FL 32608-1136 2017-02-27
1801338629 Danielle Elswick Advanced Practice Midwife 2000 Sw Archer Rd, Fourth Floor, Gainesville, FL 32608-1136 2016-11-10
1073963732 Akash Parekh Internal Medicine 2000 Sw Archer Rd, Gainesville, FL 32608-1136 2016-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609426758 Earlene Mae Anderson Technician 7770 Sw 47th Lane, Gainesville, FL 32608 2019-09-19
1588214720 Jimmie Lee Crawford Technician 7427 Sw 63rd Terrace, Gainesville, FL 32608 2019-09-19
1306495346 Lori Turbow Technician 2600 Sw Willingston Rd, Apt. 801, Gainesville, FL 32608 2019-09-11
1285281527 Advance Best Care Medical Services LLC In Home Supportive Care 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 2019-08-21
1669948097 Eric Scott Traub Genetic Counselor, MS 1699 Sw 16th Avenue, Building A, Cms B2334, Gainesville, FL 32608 2018-10-24
1457834053 Riverswarmingtouch LLC Adult Companion 2220 Sw 34th Street, Apt 125, Gainesville, FL 32608 2018-09-10
1811481252 Anthony Farmer Dentist 3100 Sw 35th Pl Apt 18a, Gainesville, FL 32608 2018-06-19
1184112823 Zoraida Vazquez Early Intervention Provider Agency 7117 Sw Archer Rd Lot 2121, Gainesville, FL 32608 2018-04-27
1942739214 Brittany R Brown Homemaker 2908 Sw 38th Place, Gainesville, FL 32608 2017-06-08
1639605801 Touch of Care,llc Home Health 6040 Sw 63rd Blvd, Gainesville, FL 32608 2017-05-10
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730792003 Holly Williams Dietitian, Registered 114 Rec Center, Gainesville, FL 32611-0001 2020-08-26
1851904114 Delaney Elizabeth Fort Dietitian, Registered 1600 Sw Archer Rd # 100325, Gainesville, FL 32610-3003 2020-08-26
1447873161 Karina Esther Falcone Dietitian, Registered 706 Sw 16th Ave Apt 109, Gainesville, FL 32601-8578 2020-05-28
1710509526 Jennifer Maranowicz Dietitian, Registered 1105 Fort Clarke Blvd Apt 712, Gainesville, FL 32606-7128 2020-05-14
1396375473 Charlotte Hill Dietitian, Registered 2480 Limestone Pkwy, Gainesville, GA 30501-2088 2020-01-17
1356991095 Taylor Wooten Dietitian, Registered 100383, Gainesville, FL 32610-0001 2019-09-15
1639689953 Alexa Jane Bledsoe Dietitian, Registered 1600 Sw Archer Rd Rm M346, Gainesville, FL 32610-3003 2017-10-02
1447607353 Marta Ferraz Valles Dietitian, Registered 279 Corry Vlg Apt 1, Gainesville, FL 32603-2134 2016-05-20
1811341035 Angela Young Dietitian, Registered 4455 Sw 34th St, Apt N76, Gainesville, FL 32608-7582 2016-04-14
1669831285 Jennifer Morris Bleiweis Dietitian, Registered 5055 Sw 91st Ter, Gainesville, FL 32608-7193 2016-02-11
Find all providers in GAINESVILLE

Competitor

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City GAINESVILLE
Zip Code 32608

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Dataset Information

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.

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