CARRIE VALENTINE BLAKE (NPI# 1659568871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659568871 |
| Entity Type | Individual |
| Full Name | CARRIE VALENTINE BLAKE |
| Credential | CPM, LM |
| Practice Address |
3155 Gwenn Ct Athol ID 83801-4909 |
| Practice Telephone | 9704819012 |
| Mailing Telephone | 9704819012 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2012-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | 27 | ID | Other Service Providers |
| N | 176B00000X | Midwife | 97 | CO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 11872716 | 01 |
| Street Address |
3155 GWENN CT |
| City | ATHOL |
| State | ID |
| Zip Code | 83801-4909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366510752 | Christopher Ray Sundquist | Physician Assistant | 6101 W Hwy 54, Suite A, Athol, ID 83801 | 2006-12-01 |
| 1053496869 | Connie Jean Stone | Massage Therapist | 6115 E Hwy 54, Athol, ID 83801 | 2006-10-27 |
| 1952673204 | Donald K Merkeley | Pathology | 16301 E Bunco Rd, Athol, ID 83801-5048 | 2012-02-02 |
| 1366982316 | Davina Gelardi | Massage Therapist | 6101 E Highway 54, Athol, ID 83801-6085 | 2017-02-24 |
| 1578956637 | Country Clinical Massage | Massage Therapist | 6101 E Highway 54 Ste A, Athol, ID 83801-6085 | 2015-03-13 |
| 1629513940 | Kelly Sorensen | Lactation Consultant, Non-RN | 23582 Rapalla Ct, Athol, ID 83801-7002 | 2016-12-21 |
| 1720390347 | Charla-jo Olorenshaw Spradlin | Physical Therapist | 26453 N Old Highway 95, Athol, ID 83801-7076 | 2010-07-12 |
| 1174783724 | Tamara Marie Barnhart | Chiropractor | 6101 E Highway 54, Unit A, Athol, ID 83801-8255 | 2008-06-16 |
| 1932392933 | Timberlake Family Medicine | Clinic/Center | 6101 E Highway 54 Ste A, Athol, ID 83801-8255 | 2007-08-22 |
| 1861632028 | Natural Health Chiropractic LLC | Clinic/Center | 6101 E Highway 54, Unit A, Athol, ID 83801-8255 | 2009-03-02 |
| Find all providers in zip 83801 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662422 | Brooke Coleman | Midwife | 30 Athol Rd, Athol, MA 01331-1065 | 2020-02-26 |
| 1710390505 | Emily Baker | Midwife | 76 Baker Rd, Athol, ID 83801-9228 | 2014-06-09 |
| 1790220168 | Ranee Lapointe | Midwife | 365 Sanders St, Athol, MA 01331 | 2016-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556277 | Carissa Ellen Chamberlain | Midwife | 505 Boydstun St, Mccall, ID 83638-3403 | 2020-07-27 |
| 1750999082 | Clarissa Jo Baxter | Midwife | 2910 E Castleberg Loop, Nampa, ID 83686-7196 | 2020-07-22 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1629636824 | Mary Christine Harvey | Midwife | 10 W Main St Parker, Saint Anthony, ID 83445-5327 | 2019-06-03 |
| 1982161261 | Haley Suzanne Law | Midwife | 440 W Peach Tree Dr, Hayden, ID 83835-9740 | 2019-02-22 |
| 1952875205 | Darcy Danielle Clark | Midwife | 226 W Village Ln, Boise, ID 83702-6217 | 2019-01-18 |
| 1538636121 | Kylee Dee Johnson | Midwife | 2065 E 17th St Ste A, Idaho Falls, ID 83404-8042 | 2018-11-01 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1487140265 | Matushka Olga Michael Maternity Associates, Inc | Midwife | 182 W State St, Eagle, ID 83616-4959 | 2018-07-05 |
| 1649764416 | Jennifer Jahn | Midwife | 3223 W Rose Hill St., Boise, ID 83705-1563 | 2018-06-15 |
| Find all providers with the same taxonomy | ||||
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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.