MS. REBECCA L BLAKE


Address: 258 Hoosick St, Troy, NY 12180-2444
Phone: 5182720232

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 015016 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY FIDELIS 140326000191 01
NY 03788887 05

Other Providers REBECCA BLAKE

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

Office Location

Street Address 258 HOOSICK ST
City TROY
State NY
Zip Code 12180-2444

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City TROY
Zip Code 12180

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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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