MS. REBECCA L BLAKE (NPI# 1902180326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902180326 |
| Entity Type | Individual |
| Full Name | MS. REBECCA L BLAKE |
| Other Name | REBECCA L CHAUVIN |
| Credential | RPA-C |
| Practice Address |
258 Hoosick St Troy NY 12180-2444 |
| Mailing Address |
711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 |
| Practice Telephone | 5182720232 |
| Practice Fax Number | 5182724083 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2019-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 015016 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | FIDELIS | 140326000191 | 01 |
| NY | 03788887 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033549431 | Rebecca Blake | Social Worker | 2225 N Charles St, Baltimore, MD 21218-5778 | 2013-11-21 |
| 1407292915 | Rebecca Thomson Blake | Social Worker | 1213 Culbreth Dr, Wilmington, NC 28405-3639 | 2013-05-13 |
| 1205098134 | Rebecca S Blake I | Counselor | 408 S 17th St, Clinton, OK 73601-4236 | 2008-07-01 |
| Street Address |
258 HOOSICK ST |
| City | TROY |
| State | NY |
| Zip Code | 12180-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447242425 | Pamela Claire Walders | Pediatrics | 258 Hoosick St, Suite 106, Troy, NY 12180-2427 | 2005-08-16 |
| 1700435054 | Alesis Reed | Nurse Practitioner | 258 Hoosick St, Troy, NY 12180-2444 | 2019-09-10 |
| 1306298401 | Amanda Hughes | Nurse Practitioner | 258 Hoosick St, Troy, NY 12180-2444 | 2016-07-13 |
| 1386027340 | Alex N Vitale | Physician Assistant | 258 Hoosick St, Suite 100, Troy, NY 12180-2444 | 2015-07-08 |
| 1104258342 | Tri-city Cardiology Care, Pllc | Internal Medicine | 258 Hoosick St, Suite 107, Troy, NY 12180-2444 | 2013-07-30 |
| 1083971493 | Melissa Ann Breault | Nurse Practitioner | 258 Hoosick St, Suite 101, Troy, NY 12180-2427 | 2012-04-23 |
| 1295018158 | Community Care Physicians, PC | Pediatrics | 258 Hoosick St, Suite 100, Troy, NY 12180-2444 | 2011-09-27 |
| 1588954614 | Jenny Ann Torre | Pediatrics | 258 Hoosick St, Suite 100, Troy, NY 12180-2444 | 2011-04-11 |
| 1770809774 | Karyn M Hughes | Pediatrics | 258 Hoosick St, Suite 100, Troy, NY 12180-2444 | 2010-04-15 |
| 1518138445 | Beth A Malone | Social Worker | 258 Hoosick St, Suite 100, Troy, NY 12180-2444 | 2008-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
| 1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
| 1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
| Find all providers in zip 12180 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1275146284 | Abigail Christine Miller | Physician Assistant | 4145 Butternut Hill Dr, Troy, MI 48098-4283 | 2020-08-28 |
| 1649882507 | Laurel Jeanne Seabolt | Physician Assistant | 4426 Holly Dr, Troy, MI 48085-4813 | 2020-08-20 |
| 1477164499 | Megan Turner | Physician Assistant | 3130 N County Rd, Troy, OH 45373-1337 | 2020-08-13 |
| 1487278800 | Rachel Barton | Physician Assistant | 2559 Palmerston Dr, Troy, MI 48084-1021 | 2020-06-01 |
| 1649891375 | Meagan Elizabeth Cuff | Physician Assistant | 3815 Ledge Dr, Troy, MI 48084-1141 | 2020-05-05 |
| 1487298329 | Megan Shelly | Physician Assistant | 2571 Hounds Chase Dr, Troy, MI 48098-2338 | 2019-11-04 |
| 1053952341 | Amanda Kate Livolsi | Physician Assistant | 258 Hoosick St Ste 106, Troy, NY 12180-2446 | 2019-10-08 |
| 1952961377 | Harsimran Grewal | Physician Assistant | 6053 Mayapple Dr, Troy, MI 48085-1065 | 2019-06-18 |
| 1457918237 | Cherita A Garcia | Physician Assistant | 1330 Us-231, Troy, AL 36081 | 2019-05-28 |
| Find all providers in TROY | ||||
Please comment or provide details below to improve the information on MS. REBECCA L BLAKE.
| 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.