MRS. CLAUDETTE L BLAKE


Address: 890 Terrill Rd, Plainfield, NJ 07062-2250
Phone: 9737043756

MRS. CLAUDETTE L BLAKE (NPI# 1841804960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841804960
Entity Type Individual
Full Name MRS. CLAUDETTE L BLAKE
Credential APRN
Practice Address 890 Terrill Rd
Plainfield
NJ 07062-2250
Practice Telephone 9737043756
Mailing Telephone 9737043756
Enumeration Date 2020-09-04
Last Update Date 2020-09-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
26NJ01050200 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 890 TERRILL RD
City PLAINFIELD
State NJ
Zip Code 07062-2250

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NPI Name Taxonomy Address Enumeration
1285299248 Forrest Lambdon Walker Sr. Psychologist 506 South Avenue, Plainfield, NJ 07062 2019-05-06
1275918963 Willowglen Academy-new Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 628 Terrill Road, Plainfield, NJ 07062 2015-07-23
1780067082 The Arc of Union County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 936 Terrill Rd, Plainfield, NJ 07062 2015-07-06
1053642538 Allan D. Tiedrich, M.d. P.a. Physical Medicine & Rehabilitation 1304 South Aveune, Plainfield, NJ 07062 2010-01-22
1952553984 Peter A. Pogany Pharmacist 611 Park Ave., Plainfield, NJ 07062 2008-10-22
1174690242 Allan Don Tiedrich Physical Medicine & Rehabilitation 1304 South Avenue, Plainfield, NJ 07062 2006-11-30
1457366445 Walgreen Eastern Co, Inc Durable Medical Equipment & Medical Supplies 1147 South Ave, Plainfield, NJ 07062 2006-07-29
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1205317229 Ahmed Khattab Pharmacist 1147 South Ave, Plainfield, NJ 07062-0706 2018-08-27
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1740816065 Jennie R Hackman Nurse Practitioner 24600 W. 127th St, Bldg B, Ste # 340, Plainfield, IL 60585-9507 2020-03-18
1902351711 Johnson Babayemi Nurse Practitioner 33 Andover Ave, Plainfield, NJ 07062-1305 2016-08-22
1912466756 Cecilia Anne Quigley Nurse Practitioner 24600 W 127th St Ste B325, Plainfield, IL 60585-9527 2019-03-19
1164721544 Pathway To Wellness Nurse Practitioner 1010 Park Avenue, Suite 2c 2nd Floor, Plainfield, NJ 07060 2011-03-24
1548565880 Christine Marie Dahl Nurse Practitioner 24600 W 127th St, Ste B325, Plainfield, IL 60585-9502 2011-01-18
1801109905 Jadira Amill Nurse Practitioner 1010 Park Ave, Plainfield, NJ 07060-3024 2010-07-17

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Competitor

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City PLAINFIELD
Zip Code 07062

Improve Information

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Dataset Information

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.

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