KIMBERLY THORNTON BLAKE


Address: 1401 W Seminole Blvd, Sanford, FL 32771-6743
Phone: 8008939698

KIMBERLY THORNTON BLAKE (NPI# 1295030195) 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) 1295030195
Entity Type Individual
Full Name KIMBERLY THORNTON BLAKE
Credential PA
Practice Address 1401 W Seminole Blvd
Sanford
FL 32771-6743
Mailing Address 200 Corporate Blvd
Suite 201
Lafayette
LA 70508-3870
Practice Telephone 8008939698
Mailing Telephone 8008939698
Enumeration Date 2011-01-24
Last Update Date 2011-01-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9105774 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers KIMBERLY BLAKE

NPI Name Taxonomy Address Enumeration
1689626319 Kimberly A Blake Nurse Practitioner 106 Calvert St, Harrison, NY 10528-3131 2006-05-17
1790391530 Kimberly Blake Chore Provider 1325 Airmotive Way, Reno, NV 89502-3201 2020-09-17
1811306418 Kimberly Blake Technician, Other 815 W 5th North St, Morristown, TN 37814-3810 2014-08-07
1265715858 Kimberly Blake Case Manager/Care Coordinator 6701 Hwy 67 S, Bldg 4, Benton, AR 72015 2011-09-21
1689971749 Kimberly Lorene Blake Nurse Practitioner 1125 Skyline Dr, Conway, AR 72032-6657 2011-02-24
1265480222 Kimberly Blake Obstetrics & Gynecology 96 Colchester Ave, Burlington, VT 05401-1417 2006-05-04

Office Location

Street Address 1401 W SEMINOLE BLVD
City SANFORD
State FL
Zip Code 32771-6743

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942290341 David J. Hak Orthopaedic Surgery 1401 W Seminole Blvd, Sanford, FL 32771-6743 2005-10-26
1336685700 Deanna Charisse Spears Registered Nurse 1401 W Seminole Blvd, Diabetes Care Center, Sanford, FL 32771-6743 2017-01-10
1912452046 Radharani Woods Vizcaino Physician Assistant 1401 W Seminole Blvd, Sanford, FL 32771-6743 2016-08-18
1861946113 Nicole Safiano Physician Assistant 1401 W Seminole Blvd, Trauma Surgery, Sanford, FL 32771-6743 2016-08-03
1639528623 Fl-i Medical Services LLC Physician Assistant 1401 W Seminole Blvd, Sanford, FL 32771-6743 2016-06-09
1174996094 Bridgewater Emergency Physicians, LLC Physician Assistant 1401 W Seminole Blvd, Sanford, FL 32771-6743 2015-11-02
1891168704 Whispering Wind Emergency Physicians, LLC Physician Assistant 1401 W Seminole Blvd, Sanford, FL 32771-6743 2015-11-02
1720450380 Leanne Marie Castillo Nurse Practitioner 1401 W Seminole Blvd, Sanford, FL 32771-6743 2015-10-22
1487052528 Australian Prowfish Surgical Specialists LLC Surgery 1401 W Seminole Blvd, Sanford, FL 32771-6743 2014-12-05
1740699750 Boundary Peak Emergency Physicians LLC Emergency Medicine 1401 W Seminole Blvd, Sanford, FL 32771-6743 2014-08-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134695224 Sheena L Grayson Pharmacist 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 2018-10-16
1699284299 Christopher Ryan King Chiropractor 1026 Old England Loop, Sanford, FL 32771 2017-09-26
1669991345 Scarlett Sierra Counselor 401 W Seminole Blvd, Sanford, FL 32771 2017-09-14
1881132249 Tracy Shibla Nurse Practitioner 2320 Retreat View Cir, Sanford, FL 32771 2017-02-06
1205387206 Tabitha Boyd Behavior Technician 4136 Geranium Ln #102, Sanford, FL 32771 2016-10-14
1104275874 Jessica Willis Nurse Anesthetist, Certified Registered 108 Temple Dr, Sanford, FL 32771 2016-06-03
1013379957 Bai Medical LLC Point of Service 580 Lexington Green Lane, Sanford, FL 32771 2016-03-21
1710347851 Melissa T Ramsawak Nurse Practitioner 4930 East Lake Mary Boulevard, Sanford, FL 32771 2016-03-02
1811394570 Tanesha Burns Counselor 209 San Carlos Ave Ste 111a, Sanford, FL 32771 2014-11-24
1053717322 Amy Hertz, Dmd and Minta Lopez-torres, Dmd Dentist 5030 West Sr 46, Suite 1018, Sanford, FL 32771 2014-11-13
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922611565 Kiarash Peter Rahmanian Physician Assistant Central Carolina Hospital - Emergency Medicine, 1135 Carthage Street, Sanford, NC 27330-4162 2020-08-24
1679045835 Daniel Burleson Physician Assistant 1212 Central Dr Ste 103, Sanford, NC 27330-4170 2018-12-27
1588147458 Tyler Harrell Physician Assistant 96 Mountain View Dr, Sanford, NC 27332-1361 2018-09-07
1538675806 Karli Ann Plunkett Physician Assistant 141 Bellagio Cir, Sanford, FL 32771-5000 2017-12-21
1972050458 Brent Layne Physician Assistant 724 South Horner Blvd, Sanford, NC 27330 2016-09-01
1174977185 Jennifer Lynn Beard Physician Assistant 2412 Wilkins Drive, Sanford, NC 27330 2016-04-15
1992111488 Innovative Healthcare Solutions of Florida LLC Physician Assistant 1561 Travertine Ter, Sanford, FL 32771-7731 2014-07-07
1902228786 Samantha Gordon Physician Assistant 1811 Phillips Dr, Sanford, NC 27330 2014-01-13
1629329727 Leah Marie Gruber Physician Assistant 2412 Wilkins Dr., Sanford, NC 27330 2012-09-28
1134442338 Jennifer Rahn Bridger Physician Assistant 717 N Horner Blvd, Sanford, NC 27330-3517 2010-03-03
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Competitor

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City SANFORD
Zip Code 32771

Improve Information

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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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