KIMBERLY BLAKE (NPI# 1790391530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790391530 |
| Entity Type | Individual |
| Full Name | KIMBERLY BLAKE |
| Practice Address |
1325 Airmotive Way Reno NV 89502-3201 |
| Practice Telephone | 7758286420 |
| Practice Fax Number | 7758286413 |
| Mailing Telephone | 7758286420 |
| Mailing Fax Number | 7758286413 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689626319 | Kimberly A Blake | Nurse Practitioner | 106 Calvert St, Harrison, NY 10528-3131 | 2006-05-17 |
| 1811306418 | Kimberly Blake | Technician, Other | 815 W 5th North St, Morristown, TN 37814-3810 | 2014-08-07 |
| 1265715858 | Kimberly Blake | Case Manager/Care Coordinator | 6701 Hwy 67 S, Bldg 4, Benton, AR 72015 | 2011-09-21 |
| 1689971749 | Kimberly Lorene Blake | Nurse Practitioner | 1125 Skyline Dr, Conway, AR 72032-6657 | 2011-02-24 |
| 1295030195 | Kimberly Thornton Blake | Physician Assistant | 1401 W Seminole Blvd, Sanford, FL 32771-6743 | 2011-01-24 |
| 1265480222 | Kimberly Blake | Obstetrics & Gynecology | 96 Colchester Ave, Burlington, VT 05401-1417 | 2006-05-04 |
| Street Address |
1325 AIRMOTIVE WAY |
| City | RENO |
| State | NV |
| Zip Code | 89502-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619918604 | Alan M Weiss | Marriage & Family Therapist | 1325 Airmotive Way, Suite 175-o, Reno, NV 89509 | 2006-06-09 |
| 1750981825 | Jessie Martin | Chore Provider | 1325 Airmotive Way, Reno, NV 89502-3201 | 2020-10-28 |
| 1043819022 | Raquel Dela Cruz | Chore Provider | 1325 Airmotive Way, Reno, NV 89502-3201 | 2020-10-21 |
| 1912514043 | Marcia Jackson | Chore Provider | 1325 Airmotive Way, Reno, NV 89502-3201 | 2020-09-23 |
| 1215544358 | Rozanay Greer | Chore Provider | 1325 Airmotive Way, Reno, NV 89502-3201 | 2020-09-23 |
| 1487260600 | Kristy Craig | Chore Provider | 1325 Airmotive Way, Reno, NV 89502-3201 | 2020-09-22 |
| 1922612001 | Brittney Vitagliano | Chore Provider | 1325 Airmotive Way, Reno, NV 89502-3201 | 2020-09-04 |
| 1326652629 | Lizbeth Guerrero | Chore Provider | 1325 Airmotive Way, Reno, NV 89502-3201 | 2020-09-03 |
| 1689288979 | Georgia Taylor | Chore Provider | 1325 Airmotive Way, Reno, NV 89502-3201 | 2020-09-03 |
| 1467066761 | Linda Joyce Ward | Chore Provider | 1325 Airmotive Way, Reno, NV 89502-3201 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594633 | Ona Beller | Technician | 3196 Cache Peak Dr, Reno, NV 89512-1122 | 2020-10-05 |
| 1265039085 | Jennifer Zirbes | Technician | 446 Kirman Ave Apt 202, Reno, NV 89502-1967 | 2020-10-05 |
| 1144839093 | Nallely Gonzalez Rios | Technician | 1855 Selmi Dr Apt D127, Reno, NV 89512-4760 | 2020-07-27 |
| 1477171361 | Samantha Salazar | Technician | 2800 Enterprise Rd, Reno, NV 89512-1853 | 2020-07-08 |
| 1326662297 | Alex Silag | Technician | 1557 Delucchi Ln Unit H, Reno, NV 89502-6540 | 2020-06-05 |
| 1073136172 | Jarelin Reina Huliganga | Technician | 2401 Harvard Way Apt 151, Reno, NV 89502-7300 | 2020-05-22 |
| 1114549441 | Elena Mnatsakanyan | Technician | 1051 Crown View Dr, Reno, NV 89523-1525 | 2020-05-08 |
| 1629690045 | Sean Thomas | Technician | 303 Broadway Blvd, Reno, NV 89502-2920 | 2020-05-07 |
| 1700407848 | Myrna Legge | Technician | 8000 Offenhauser Dr Apt 34b, Reno, NV 89511-2320 | 2020-04-29 |
| 1013538222 | Samantha Barr | Technician | 330 E Grove St Apt 6, Reno, NV 89502-3912 | 2020-04-28 |
| Find all providers in RENO | ||||
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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.