MELISSA S. BLAKE


Address: 58 Ethan Cir, Middle Island, NY 11953-2644
Phone: 6315123541

MELISSA S. BLAKE (NPI# 1356762298) 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) 1356762298
Entity Type Individual
Full Name MELISSA S. BLAKE
Credential LPN
Practice Address 58 Ethan Cir
Middle Island
NY 11953-2644
Practice Telephone 6315123541
Mailing Telephone 6315123541
Enumeration Date 2013-12-19
Last Update Date 2013-12-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 10 316261 NY Nursing Service Providers

Other Providers MELISSA BLAKE

NPI Name Taxonomy Address Enumeration
1518425651 Melissa Lynn Blake Nurse Practitioner 8200 W 71st St Ste 135, Shawnee Mission, KS 66204-1715 2019-03-07
1386124139 Melissa A Blake Occupational Therapist 3257 Whitfield Ct, Waterford, MI 48329 2018-08-20
1972052157 Melissa Blake Speech-Language Pathologist 1924 W A St, Hastings, NE 68901-5650 2016-09-28
1740655653 Melissa Beth Blake Physician Assistant 2176 Salk Ave, Carlsbad, CA 92008 2015-12-02
1801275946 Melissa Kathleen Blake Dentist 1924 Route 70 E, Cherry Hill, NJ 08003 2015-05-21
1548507882 Melissa Blake Counselor 2825 Santa Monica Blvd, Suite 100, Santa Monica, CA 90404-2429 2013-01-07
1770734048 Melissa Elaine Blake Social Worker 60 Perserverance Way, Hyannis, MA 02601-1843 2008-10-06

Office Location

Street Address 58 ETHAN CIR
City MIDDLE ISLAND
State NY
Zip Code 11953-2644

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205461639 Knickerbocker Dialysis Inc Clinic/Center 1277 Middle Country Rd, Middle Island, NY 11953 2020-03-05
1598252553 Karen Simpson Dietitian, Registered 23 Summersweet Drive, Middle Island, NY 11953 2018-04-16
1699285502 Amanda Rebekah Maye Licensed Practical Nurse 24 Wilson Avenue, Middle Island, NY 11953 2017-10-05
1982042065 Shanti Kumari Chand Licensed Practical Nurse 49 Crest St, Oak Hollow Nursing Center, Middle Island, NY 11953 2013-06-11
1154664886 Achieve Beyond Oediatric Therapy and Early Intervention Services Early Intervention Provider Agency 1103 Stonegate Way, Middle Island, NY 11953 2013-04-01
1831434018 Amanda M Titus Licensed Practical Nurse 6 Redbud Ct, Middle Island, NY 11953 2012-11-29
1740561810 Daniel Joseph Mckiernan Registered Nurse 217 Lake Point Cir, Middle Island, NY 11953 2011-09-02
1760787212 Marissa Rodriguez Speech-Language Pathologist 41 Yaphank Middle Island Rd, Middle Island, NY 11953 2011-01-13
1376861542 Sara Buckley Licensed Practical Nurse 341 Lake Pointe Dr, Middle Island, NY 11953 2010-05-12
1669645818 Kimberley Jean Levy Physician Assistant 281 Middle Country Road, Middle Islana, NY 11953 2008-04-09
Find all providers in zip 11953

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013480938 Marcell Rountree Licensed Practical Nurse 517 Tudor Ln, Middle Island, NY 11953-1372 2019-01-03
1699285502 Amanda Rebekah Maye Licensed Practical Nurse 24 Wilson Avenue, Middle Island, NY 11953 2017-10-05
1134645500 Jeffrey Jerome Hunter Licensed Practical Nurse 47 Pinewoods Cres, Middle Island, NY 11953-1572 2017-08-17
1588105290 Melissa Mccaffrey Licensed Practical Nurse 43 Wellington Rd, Middle Island, NY 11953-1562 2017-03-14
1649725136 Storm Falcon Lawson Licensed Practical Nurse 16 Southfield Rd, Middle Island, NY 11953-1534 2016-08-24
1598125957 Vanessa Marie Dodson Licensed Practical Nurse 19 Nord Park Blvd, Middle Island, NY 11953-1839 2016-02-28
1821453481 Elif Desimone Licensed Practical Nurse 306 Fairview Cir, Middle Island, NY 11953-2361 2015-12-28
1780056556 Sonia Edouard Licensed Practical Nurse 3 Summersweet Dr, Middle Island, NY 11953-2714 2015-10-20
1386025252 Erica Rivera Licensed Practical Nurse 60 Winterberry Dr, Middle Island, NY 11953-2706 2015-06-16
1801287487 Jason Faulkner Licensed Practical Nurse 124 W Bartlett Rd, Middle Island, NY 11953-1812 2015-02-18
Find all providers in MIDDLE ISLAND

Competitor

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City MIDDLE ISLAND
Zip Code 11953

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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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