BLAKE RICHARD PETERSON (NPI# 1821506601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821506601 |
| Entity Type | Individual |
| Full Name | BLAKE RICHARD PETERSON |
| Practice Address |
3536 Grove Ave Richmond VA 23221-2200 |
| Practice Telephone | 8046739355 |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0019012215 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689027054 | Blake Peterson | Podiatrist | 8130 Hawthorn, Temple, TX 76502 | 2016-07-20 |
| 1942200159 | Blake Allen Peterson | Optometrist | 2020 Keith St Nw, Cleveland, TN 37311-1351 | 2005-07-29 |
| 1962965855 | Blake Peterson | Chiropractor | 1878 W 3600 S, West Valley City, UT 84119-3893 | 2019-04-09 |
| 1043561343 | Blake T Peterson | Nurse Anesthetist, Certified Registered | 406 S 30th Ave, Suite 202, Yakima, WA 98902-3713 | 2012-09-26 |
| 1023379849 | Blake Peterson | Orthopaedic Surgery | 2445 Army Navy Dr, Arlington, VA 22206-2905 | 2012-06-07 |
| Street Address |
3536 GROVE AVE |
| City | RICHMOND |
| State | VA |
| Zip Code | 23221-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528070646 | Michelle A Kovacs | Physical Therapist | 3536 Grove Ave, Richmond, VA 23221-2200 | 2006-08-13 |
| 1811530678 | Daniel Estes | Massage Therapist | 3536 Grove Ave, Richmond, VA 23221-2200 | 2019-10-24 |
| 1104480649 | Maria Maisano | Massage Therapist | 3536 Grove Ave, Richmond, VA 23221-2200 | 2019-04-30 |
| 1548760085 | Bronwyn Cotten | Massage Therapist | 3536 Grove Ave, Richmond, VA 23221-2200 | 2018-02-20 |
| 1841790482 | Elizabeth Louise Jenkins | Massage Therapist | 3536 Grove Ave, Richmond, VA 23221-2200 | 2018-02-20 |
| 1437667243 | Douglas F Carter | Massage Therapist | 3536 Grove Ave, Richmond, VA 23221-2200 | 2018-01-15 |
| 1013425008 | Miranda Hale | Massage Therapist | 3536 Grove Ave, Richmond, VA 23221-2200 | 2018-01-12 |
| 1720596836 | Megan Ann Franz | Massage Therapist | 3536 Grove Ave, Richmond, VA 23221-2200 | 2018-01-11 |
| 1639687718 | Rebecca Lee Brannock | Massage Therapist | 3536 Grove Ave, Richmond, VA 23221-2200 | 2018-01-11 |
| 1235647256 | Aidan Feore | Massage Therapist | 3536 Grove Ave, Richmond, VA 23221-2200 | 2018-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144874694 | Lauren Sarah Debski | Nurse Practitioner | 204 North Hamilton St. Suite B, Richmond, VA 23221 | 2019-08-01 |
| 1144607177 | Rachel Rowden | Behavioral Analyst | 3414 Monument Ave Unit 304, Richmond, VA 23221 | 2015-04-28 |
| 1497091938 | Kate Tucker Tibbs | Nurse Practitioner | 2342 Colony Crossing Place, Midlothian, VA 23221 | 2013-01-02 |
| 1821249723 | James Taylor | Dentist | 3605 Grove Ave., Richmond, VA 23221 | 2008-10-09 |
| 1811150121 | Lisa Ann Armstrong | Dietitian, Registered | 3536 Grove Avenue, Richmond, VA 23221 | 2008-07-07 |
| 1588835391 | Sarah E. Charbonneau | Social Worker | 3026a West Cary Street, Richmond, VA 23221 | 2008-03-19 |
| 1639347990 | The Virginia League for Planned Parenthood | Clinic/Center | 201 N. Hamilton St, Richmond, VA 23221 | 2008-02-20 |
| 1912104753 | Rebecca D Angus | Dentist | 4509 W Franklin St, Richmond, VA 23221 | 2007-06-27 |
| 1598851578 | Adams, Adams, and Epperly Dds PC | Dentist | 4315 Grove Avenue, Richmond, VA 23221 | 2006-10-05 |
| 1164518882 | Mark Richard Lane | Counselor | 4201 Patterson Ave, Richmond, VA 23221 | 2006-10-04 |
| Find all providers in zip 23221 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134017 | Kendall Burton | Massage Therapist | 4310 Grantlake Rd, Richmond, VA 23234-3649 | 2020-11-06 |
| 1902404205 | Akeem M Hutcherson | Massage Therapist | 406 W Franklin St, Richmond, VA 23220-4906 | 2020-10-09 |
| 1558968891 | Ellesse Cheeks | Massage Therapist | 2202 North Ave Apt A, Richmond, VA 23222-4325 | 2020-10-08 |
| 1245845833 | Ashley Nicole Bennett | Massage Therapist | 139 S 5th St, Richmond, IN 47374-4222 | 2020-09-10 |
| 1669086385 | Adina J Pernell | Massage Therapist | 743 33rd St, Richmond, CA 94804-1411 | 2020-08-31 |
| 1346880788 | Julienne Nascimento Perez | Massage Therapist | 211a N 18th St # 2, Richmond, VA 23223-6905 | 2020-01-14 |
| 1376102640 | Jaclyn Clarke | Massage Therapist | 54 Richmond Townhouse Rd, Richmond, RI 02898-1228 | 2019-06-11 |
| 1396205167 | Rebecca Ann Hansen | Massage Therapist | 66990 Gratiot Ave, Richmond, MI 48062-1913 | 2019-03-20 |
| 1528533148 | Carey Phillips | Massage Therapist | 3001 Hungary Spring Rd Ste C, Richmond, VA 23228-2428 | 2018-10-10 |
| 1831697127 | David Younkins | Massage Therapist | 2522 Hermitage Rd Ste D, Richmond, VA 23220-1129 | 2018-02-01 |
| Find all providers in RICHMOND | ||||
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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.