MRS. JENNIFER MARIE BLAKE (NPI# 1598073835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598073835 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER MARIE BLAKE |
| Credential | MS, ACNP-BC, CNRN |
| Practice Address |
601 E 15th St Austin TX 78701-1930 |
| Mailing Address |
801 W 38th St Suite 400 Austin TX 78705-1167 |
| Practice Telephone | 5123241000 |
| Mailing Telephone | 5123061323 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2011-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WN0800X |
Registered Nurse Specialization: Neuroscience |
4704258847 | MI | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
795600 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704258847 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629623574 | Jennifer Ann Blake | Social Worker | 5000 S 5th Ave Bldg 200, Hines, IL 60141-3030 | 2019-08-07 |
| 1508198078 | Jennifer Lynn Blake | Speech-Language Pathologist | 3161 Sw 50th St, Ft. Lauderdale, FL 33312 | 2010-02-08 |
| 1972620110 | Jennifer Kay Blake | Counselor | 150 Shelton Mcmurphey Blvd Ste 101, Eugene, OR 97401-5015 | 2007-03-23 |
| 1114552585 | Jennifer E Blake | Social Worker | 2900 W Prospect Rd, Fort Lauderdale, FL 33309-2519 | 2020-03-06 |
| 1497245708 | Jennifer Christina Blake | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 1400, Houston, TX 77030-5389 | 2018-05-11 |
| 1023535739 | Jennifer K Blake | Physical Therapist | 594 Broadway, New York, NY 10012-3233 | 2017-08-23 |
| 1942641550 | Jennifer Blake | Occupational Therapist | 2501 Downing St Sw, Wilson, NC 27893-4517 | 2013-07-11 |
| 1457649204 | Jennifer L Blake | Counselor | 11630 Se 40th Ave, Suite A, Milwaukie, OR 97222-6195 | 2011-07-14 |
| 1982998282 | Jennifer Lynn Blake | Physical Therapist | 506 Plain St, Suite 101, Marshfield, MA 02050-2744 | 2011-06-03 |
| 1891952370 | Jennifer Marie Blake | Pediatrics | 3901 Beaubien St, Childrens Hospital of Mi 4th Fl, Detroit, MI 48201-2119 | 2008-05-21 |
| Street Address |
601 E 15TH ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78701-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500866 | Wendell Drew Fielder | Surgery | 601 E 15th St, Austin, TX 78701 | 2005-07-07 |
| 1912433103 | Liwayway Remegias Andrade | Student in an Organized Health Care Education/Training Program | 601 E 15th St, Austin, TX 78701-1930 | 2017-05-07 |
| 1750815320 | Carl A Nunziato | Student in an Organized Health Care Education/Training Program | 601 E 15th St, Austin, TX 78701-1930 | 2017-04-20 |
| 1346774163 | Claire Ryan | Student in an Organized Health Care Education/Training Program | 601 E 15th St, Austin, TX 78701-1930 | 2017-04-18 |
| 1407380546 | Sabino Tamez Lara Iv | Student in an Organized Health Care Education/Training Program | 601 E 15th St, Cl300, Austin, TX 78701-1930 | 2017-04-15 |
| 1750815189 | Vecheslav Fedorchenco | Student in an Organized Health Care Education/Training Program | 601 E 15th St, Ut Austin Dell Medical School Internal Medicine, Austin, TX 78701-1930 | 2017-04-12 |
| 1932633484 | Benjamin Joseph Kopp | Student in an Organized Health Care Education/Training Program | 601 E 15th St, Austin, TX 78701-1930 | 2017-04-11 |
| 1427581362 | James David Spearman Jr. | Student in an Organized Health Care Education/Training Program | 601 E 15th St, Austin, TX 78701-1930 | 2017-04-07 |
| 1396278248 | Nicole Scott | Student in an Organized Health Care Education/Training Program | 601 E 15th St, Austin, TX 78701-1930 | 2017-04-07 |
| 1356880439 | Misty Dawn Crouch | Dietitian, Registered | 601 E 15th St, 4th Floor, Austin, TX 78701-1930 | 2017-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501820 | Megan Elise Gittins | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School 1400 Ih-35, Cec 300, Austin, TX 78701 | 2020-06-04 |
| 1306467956 | Jason Russell Paxman | Internal Medicine | Dell Seton Medical Center 1500 Red River, Austin, TX 78701 | 2020-05-05 |
| 1992326078 | Sarah N Ibanez Shaw | Emergency Medicine | Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2020-04-30 |
| 1215558689 | Margaret Marie Coates | Student in an Organized Health Care Education/Training Program | 1400 N Interstate Highway 35, Cec 2.404, Austin, TX 78701 | 2020-04-27 |
| 1740817956 | Woody Starcloud Green | Emergency Medicine | Dell Emergency Medicine Residency Program, 1400 N. Interstate Hwy 35, Suite 2.230, Austin, TX 78701 | 2020-03-26 |
| 1235771403 | Central Ortho Assists Pllc | Physician Assistant | 501 Congress, Suite 150, Austin, TX 78701 | 2019-10-09 |
| 1114575792 | Shyneice Lasha Gaddis | Behavior Technician | 100 Congress Ave Suite 2000, Austin, TX 78701 | 2019-08-28 |
| 1245887355 | Jonathan Thomas Mason | Family Medicine | 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 | 2019-08-22 |
| 1538726195 | Zahra Virginia Cain-akbar | Student in an Organized Health Care Education/Training Program | Ut Dell Medical, 1500 Red River St, Austin, TX 78701 | 2019-05-20 |
| 1457918021 | Sara Lugonjic | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School Neurology Program, 1400 Ih- 35, Cec 300, Austin, TX 78701 | 2019-05-20 |
| Find all providers in zip 78701 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104437193 | Anna Michele Taylor | Nurse Practitioner | 6704 Modesto St, Austin, TX 78757-2824 | 2020-08-12 |
| 1609409853 | Temisan Edwin Tenumah | Nurse Practitioner | 401 Little Texas Ln Apt 1213, Austin, TX 78745-4126 | 2020-02-17 |
| 1205478906 | James Myers | Nurse Practitioner | 12221 Mopac, Austin, TX 78758-2401 | 2019-10-14 |
| 1760970982 | Israel Ramirez | Nurse Practitioner | 8807 Meridian Oak Ln, Austin, TX 78744-7972 | 2018-04-24 |
| 1497291736 | Roberto Marin Garcia | Nurse Practitioner | 404 Rio Grande St Apt 203, Austin, TX 78701-2862 | 2017-01-10 |
| 1063883874 | Rosimeire Sawyer | Nurse Practitioner | 7000n Mo Pac Expy 420, Austin, TX 78731-3055 | 2015-10-20 |
| 1578816195 | Crystal Milner | Nurse Practitioner | 901 W 38th Street, Suite 403, Austin, TX 78705 | 2012-10-19 |
| 1730498213 | Esther Myriam Seoanes | Nurse Practitioner | 6801 Lunar Dr, Austin, TX 78745-5625 | 2010-09-30 |
| 1437488285 | Lacey Honey | Nurse Practitioner | 4310 James Casey, #1a, Austin, TX 78745 | 2009-12-08 |
| 1649883497 | Tasha Nicole Hack | Nurse Practitioner | 2200 W 35th St, Austin, TX 78703-1222 | 2020-08-30 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on MRS. JENNIFER MARIE 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.