SHIRLEY BLAKE (NPI# 1386886752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386886752 |
| Entity Type | Individual |
| Full Name | SHIRLEY BLAKE |
| Credential | RNC |
| Practice Address |
3509 Mabry Road Gainesville GA 30504-7979 |
| Mailing Address |
4331 Thurmond Tanner Parkway Flowery Branch GA 30542-7979 |
| Practice Telephone | 7705362310 |
| Mailing Telephone | 6785135700 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN125274 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467988360 | Shirley R Blake | Specialist | 24063 Highpoint Rd, Bristol, VA 24202-4707 | 2017-05-11 |
| 1326057753 | Shirley Blake | Physical Therapist | 133 Corporate Dr, Suite 2, Bangor, ME 04401-4312 | 2006-08-05 |
| Street Address |
3509 MABRY ROAD |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30504-7979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124572 | Jessica Rodriguez New | Pharmacist | 2892 Browns Bridge Road, Gainesville, GA 30504 | 2020-11-03 |
| 1710541461 | Lauren Brooke Taylor | Occupational Therapist | 2900 Mcever Road, Gainesville, GA 30504 | 2019-04-29 |
| 1801023700 | Brenda Levartha Hamilton | Registered Nurse | 3905 Mabry Rd., Gainesville, GA 30504 | 2009-06-18 |
| 1083757645 | Charles Kent Yarbrough | Optometrist | 400 Shallowford Road, Vision Center, Gainesville, GA 30504 | 2007-02-14 |
| 1881746170 | Lisa S. Ralston | Occupational Therapist | 3038 St. Charles Ave., 3038 St. Charles Ave., Gainesville, GA 30504 | 2007-01-17 |
| 1326140690 | David Richards Adamson | Physical Therapist | 3640 Mundy Mill Road, Suite 102b, Oakwood, GA 30504 | 2006-09-05 |
| 1326057621 | Henry Joseph Lewis IIi | Legal Medicine | 5606 Captains Ct, Gainesville, GA 30504 | 2006-08-05 |
| 1992164032 | Hall County Endoscopy Center LLC | Clinic/Center | 1955 Textile Way, Gainesville, GA 30504 | 2016-02-17 |
| 1982902276 | James Minton | Pharmacist | 3640 Mundy Mill Road, Gainesville, GA 30504 | 2011-03-10 |
| 1881758969 | Donna Marie Colavecchio | Occupational Therapy Assistant | 3640 Mundy Mill Road, Suite 102b, Oakwood, GA 30504 | 2006-12-21 |
| Find all providers in zip 30504 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1689284903 | Rodderica Leann Coleman | Registered Nurse | 6026 Nw 27th Ter, Gainesville, FL 32653-1925 | 2020-08-02 |
| 1598387136 | Rhonda Dukes | Registered Nurse | 1406 Se 4th Ave, Gainesville, FL 32641-7342 | 2020-05-16 |
| 1346879558 | Samantha Briggs Gilchrist | Registered Nurse | 11730 Sw 122nd St, Gainesville, FL 32608-5846 | 2020-04-08 |
| 1457989121 | Bonnie League | Registered Nurse | 3709 Nw 55th Ter, Gainesville, FL 32606-6910 | 2020-03-30 |
| 1700426772 | Aaron Shelbrock | Registered Nurse | 3930 Sw 1st Ave, Gainesville, FL 32607-2702 | 2020-01-08 |
| 1184264186 | Shirley Simpson | Registered Nurse | 1601 Sw Archer Rd # 118a, Gainesville, FL 32608-1135 | 2020-01-08 |
| 1750852489 | Mae Griner | Registered Nurse | 2118 Ne 15th Ter, Gainesville, FL 32609-8914 | 2018-12-06 |
| 1134699663 | Nancy Grad | Registered Nurse | 4615 Nw 53rd Ave Ste C, Gainesville, FL 32653-4885 | 2018-11-27 |
| 1538649405 | Clara Janeth Elias | Registered Nurse | 515 S Taylor St, Gainesville, TX 76240-5415 | 2018-08-20 |
| 1669966776 | Karen Dorene Hacker | Registered Nurse | 566 County Road 134, Gainesville, TX 76240-6915 | 2018-06-21 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30504 |
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| 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.