MELISSA LYNN BLAKE (NPI# 1518425651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518425651 |
| Entity Type | Individual |
| Full Name | MELISSA LYNN BLAKE |
| Credential | NP-C, MSN, M.ED |
| Practice Address |
8200 W 71st St Ste 135 Shawnee Mission KS 66204-1715 |
| Practice Telephone | 9135499970 |
| Practice Fax Number | 9134404749 |
| Mailing Telephone | 9135499970 |
| Mailing Fax Number | 9134404749 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 78651 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | TMP-158064 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | KANSAS STATE REGISTERED NURSING LICENSE | 13-125629-12 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386124139 | Melissa A Blake | Occupational Therapist | 3257 Whitfield Ct, Waterford, MI 48329 | 2018-08-20 |
| 1356762298 | Melissa S. Blake | Licensed Practical Nurse | 58 Ethan Cir, Middle Island, NY 11953-2644 | 2013-12-19 |
| 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 |
| Street Address |
8200 W 71ST ST STE 135 |
| City | SHAWNEE MISSION |
| State | KS |
| Zip Code | 66204-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652405 | Avenue 81 Iaop | Assisted Living Facility | 8055 Metcalf Ave, Overland Park, KS 66204 | 2020-09-04 |
| 1487160255 | Femme Focus, L.L.C. | Clinic/Center | 7927 Floyd, Rm 5, Home Family Holistic Center, Overland Park, KS 66204 | 2017-12-15 |
| 1427577469 | Linda Kay Mufich-knopp | Physical Therapist | Femme Focus, L.L.C. In The Home Family Holistic Center, 7927 Floyd Street, Suite 5, Overland Park, KS 66204 | 2017-09-11 |
| 1700304789 | Kalli Dee Karmann | Occupational Therapy Assistant | 6814 W 72nd St, Overland Park, KS 66204 | 2017-08-30 |
| 1164951786 | Daniel Collins | Physical Therapist | 10000 W. 75th St. Ste. 250, Merriam, KS 66204 | 2017-06-07 |
| 1942686530 | Anna Katheryn Grantham | Speech-Language Pathologist | 10000 W. 75th St., Suite 250, Merriam, KS 66204 | 2015-08-05 |
| 1700262680 | Maple Hills Healthcare, Inc. | Skilled Nursing Facility | 7600 Antioch Rd, Overland Park, KS 66204 | 2015-08-03 |
| 1104211085 | John Brainard | Pediatrics | 8901 W 74th St Ste 10, Shawnee Mission, KS 66204 | 2015-03-30 |
| 1477941318 | Shelley Watts | Occupational Therapy Assistant | 6712 W 72nd Street, Overland Park, KS 66204 | 2014-12-30 |
| 1578963369 | James Aaron Mitchum | Counselor | 7923 Santa Fe Dr, Overland Park, KS 66204 | 2014-08-28 |
| Find all providers in zip 66204 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386276921 | Melinda Dessieux | Nurse Practitioner | 7450 Kessler St Ste 205, Shawnee Mission, KS 66204-2519 | 2020-02-11 |
| 1568419653 | Nancy Rose Delacruz | Nurse Practitioner | 8901 W 74th Street, Suite 120, Shawnee Mission, KS 66204 | 2006-05-27 |
| 1386146694 | Lesley Hofer | Nurse Practitioner | 9301 W 74th St Ste 100, Shawnee Mission, KS 66204-2217 | 2018-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355473 | Judith Anne Shilling | Nurse Practitioner | 362 N Milstead St, Wichita, KS 67212-5428 | 2020-10-28 |
| 1275140261 | Erica Lea Bletscher | Nurse Practitioner | 14th and Oregon Street, Sabetha, KS 66534 | 2020-09-24 |
| 1679186209 | Jessica Cairo | Nurse Practitioner | 1607 State St, Ellsworth, KS 67439-1628 | 2020-08-24 |
| 1760092894 | Laura Lea Aronis | Nurse Practitioner | 3103 N Sedgwick St, Wichita, KS 67204-4118 | 2020-08-04 |
| 1477162550 | Silverus Ngetich Kimeli | Nurse Practitioner | 22237 W 98th St, Lenexa, KS 66220 | 2020-07-24 |
| 1992323570 | Bryan Edward Lentz | Nurse Practitioner | 1425 N 2nd St, Atchison, KS 66002-1214 | 2020-07-09 |
| 1326663394 | Evolve Diabetes LLC. | Nurse Practitioner | 6805 W Northwind Cir, Wichita, KS 67205-2583 | 2020-06-15 |
| 1306468046 | Conner Reid Keyeski | Nurse Practitioner | 1026 Westdale Rd, Lawrence, KS 66049-2637 | 2020-05-16 |
| 1831710169 | Danijela Prodanovic | Nurse Practitioner | 23401 Prairie Star Pkwy Ste B-305, Lenexa, KS 66227-7268 | 2020-04-28 |
| 1619505567 | Brook Moore | Nurse Practitioner | 328 N Mark Allen St, Wichita, KS 67212-5455 | 2020-03-27 |
| Find all providers with the same taxonomy | ||||
| City | SHAWNEE MISSION |
| Zip Code | 66204 |
Please comment or provide details below to improve the information on MELISSA LYNN BLAKE.
| 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.