CAROL BLAKE (NPI# 1710926530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710926530 |
| Entity Type | Individual |
| Full Name | CAROL BLAKE |
| Credential | MSN, RN, CNS, CRNFA |
| Practice Address |
4091 E Nisbet Rd Phoenix AZ 85032-4767 |
| Practice Telephone | 6029718599 |
| Practice Fax Number | 6029713887 |
| Mailing Telephone | 6029718599 |
| Mailing Fax Number | 6029713887 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 023 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366765794 | Carol Ann Blake | Dentist | 5225 Wisconsin Ave Nw, Suite 511, Washington, DC 20015-2014 | 2010-03-12 |
| 1669600615 | Carol Blake | Physician Assistant | 111 E 210th St, Nw7, Medicine, Bronx, NY 10467-2401 | 2009-06-29 |
| 1538208533 | Carol Vanderpoel Blake | Physician Assistant | 446 N Reading Rd, Ephrata, PA 17522-9802 | 2007-02-06 |
| Street Address |
4091 E NISBET RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-4767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073678785 | Carol Blake, Msn, Rn, Cns, Crnfa, Cnor, PC | Clinical Nurse Specialist | 4091 E Nisbet Rd, Phoenix, AZ 85032-4767 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609868272 | Geri R Hall | Clinical Nurse Specialist | 901 E Willetta St, Phoenix, AZ 85003 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700220456 | Wound Cares LLC | Clinical Nurse Specialist | 302 El Camino Real Bldg 10, Suite F, Sierra Vista, AZ 85635-2860 | 2013-04-24 |
| 1881122174 | Melissa Tsinnijinnie | Clinical Nurse Specialist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-05-31 |
| 1013018951 | Jane Bishop Gersmeyer | Clinical Nurse Specialist | 3601 S 6th Avenue, Tucson, AZ 85723 | 2006-09-25 |
| 1972552578 | Marilyn A Koller | Clinical Nurse Specialist | 9165 W Thunderbird Rd, Suite 100, Peoria, AZ 85381-4847 | 2006-05-09 |
| 1871542456 | Sheri Witzer | Clinical Nurse Specialist | 13640 N Plaza Del Rio Blvd, Ste 340, Peoria, AZ 85381-4846 | 2006-05-09 |
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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.