ROBERT DEMAREST BLAKE JR. (NPI# 1285029389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285029389 |
| Entity Type | Individual |
| Full Name | ROBERT DEMAREST BLAKE JR. |
| Practice Address |
11242 Mills Mills Rd Fillmore NY 14735-8622 |
| Practice Telephone | 2142231567 |
| Mailing Telephone | 2142231567 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 251326-1 | NY | Nursing Service Providers |
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
251326-1 | NY | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245756170 | Robert G Blake | Physical Therapist | 10004 Nw 54th Pl, Coral Springs, FL 33076-2420 | 2017-08-22 |
| 1104262930 | Robert Alexander Blake | Student in an Organized Health Care Education/Training Program | 1255 Nuuanu Ave, 1309, Honolulu, HI 96817-4017 | 2013-05-20 |
| 1760707061 | Robert Mcgowin Blake | Massage Therapist | 643 First Street North, Alabaster, AL 35007 | 2010-03-30 |
| 1972794212 | Robert E Blake | Counselor | 3969 4th Ave Ste 203, San Diego, CA 92103-3165 | 2007-08-01 |
| 1891850558 | Robert Quincy Blake | Social Worker | 1204 Paul Dr, Cedar Hill, TX 75104-6216 | 2006-12-23 |
| 1356442446 | Robert A Blake | Dentist | 50 West St, Beverly, MA 01915-2228 | 2006-09-25 |
| 1407864440 | Robert Edward Blake | Dentist | 104 N Park Dr, Fayetteville, GA 30214-1645 | 2006-08-04 |
| 1942283213 | Robert Allen Blake | Pharmacist | 206 N Market St, West Union, OH 45693-1307 | 2005-11-21 |
| 1285635904 | Robert B Blake | Orthopaedic Surgery | 1450 Ellis St, Suite 201, Bozeman, MT 59715-8812 | 2005-08-03 |
| 1174978191 | Robert Philp Blake | Counselor | 603 Hemlock St, Suite 2b, Brookings, OR 97415 | 2016-04-27 |
| Street Address |
11242 MILLS MILLS RD |
| City | FILLMORE |
| State | NY |
| Zip Code | 14735-8622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487887402 | Lisa Voss | Licensed Practical Nurse | 36 North Genesee Street, Fillmore, NY 14735 | 2009-08-25 |
| 1669638839 | Naomi Jo Bennion | Licensed Practical Nurse | 10908 Route 19, Fillmore, NY 14735 | 2008-08-06 |
| 1457436073 | Daniel Clarence Kauffman | Dentist | 16 East Main St, Fillmore, NY 14735 | 2006-10-25 |
| 1275965980 | Cathy J Morley | Registered Nurse | 59 South Genesee Street, Fillmore, NY 14735-0242 | 2013-08-05 |
| 1326219072 | Dean Salyer | Pharmacist | 10560 Route 19, Fillmore, NY 14735-0272 | 2008-03-20 |
| 1881760361 | Steven Roy Tucker | Physical Therapist | 11039 Dugway Rd, Fillmore, NY 14735-8610 | 2006-11-28 |
| 1326450073 | Edward M Kelly | Physical Therapy Assistant | 11039 Dugway Rd, Fillmore, NY 14735-8610 | 2014-05-29 |
| 1609047554 | Fillmore Physical Therapy LLC | Physical Therapist | 11039 Dugway Rd, Fillmore, NY 14735-8610 | 2008-03-19 |
| 1669927992 | Tara Marie Armison | Licensed Practical Nurse | 10906 Route 19a, Fillmore, NY 14735-8616 | 2016-08-16 |
| 1972751287 | Audra Janis Beardsley | Speech-Language Pathologist | 7782 Higgins Creek Rd, Fillmore, NY 14735-8621 | 2008-08-29 |
| Find all providers in zip 14735 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497288708 | Candice Marie Bowen | Licensed Practical Nurse | 59 Orient St, Fillmore, CA 93015-1870 | 2017-04-05 |
| 1669927992 | Tara Marie Armison | Licensed Practical Nurse | 10906 Route 19a, Fillmore, NY 14735-8616 | 2016-08-16 |
| 1477822856 | Cassandra Marie Wendt | Licensed Practical Nurse | 5903 W River Rd Apt 6, Fillmore, NY 14735-8850 | 2011-12-14 |
| 1588986285 | Patricia Margret Johns | Licensed Practical Nurse | 10457 Bernard St, Fillmore, NY 14735-8710 | 2010-02-22 |
| 1487887402 | Lisa Voss | Licensed Practical Nurse | 36 North Genesee Street, Fillmore, NY 14735 | 2009-08-25 |
| 1669638839 | Naomi Jo Bennion | Licensed Practical Nurse | 10908 Route 19, Fillmore, NY 14735 | 2008-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROBERT DEMAREST BLAKE JR..
| 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.