IRENE BLAKE (NPI# 1902355803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902355803 |
| Entity Type | Individual |
| Full Name | IRENE BLAKE |
| Practice Address |
8211 Rambling Rose Ln Laurel MD 20724-1964 |
| Practice Telephone | 2405052473 |
| Mailing Telephone | 2405052473 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
RN1009199 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8211 RAMBLING ROSE LN |
| City | LAUREL |
| State | MD |
| Zip Code | 20724-1964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336618 | Rupesh Sheth | Pharmacist | Sams's Club, 3535 Russett Green E, Laurel, MD 20724 | 2020-11-03 |
| 1841897360 | Alexia Jones | Specialist | 7903 Orion Cir Unit C- 431, Laurel, MD 20724 | 2020-10-07 |
| 1619456720 | Franklin F Cho Tumasang | Home Health Aide | 8085 Pennington Dr, Laurel, MD 20724 | 2018-08-09 |
| 1134622871 | Alberta Derkyi | Nurse Practitioner | 3404 Bitterwood Place, #i003, Laurel, MD 20724 | 2018-03-08 |
| 1497272892 | Kelly Elise Ferguson | Acupuncturist | 3115 Burning Springs Rd Apt 2a, Laurel, MD 20724 | 2017-08-25 |
| 1245752625 | Ngwe Ernestine Ndikum | Home Health Aide | 3573 Fort Meade Road Apt 512, Laurel, MD 20724 | 2017-07-07 |
| 1063943496 | Jennifer Nowell | Counselor | 3407 Holly Creek Drive Apt 1a, Laurel, MD 20724 | 2017-03-27 |
| 1912369315 | Josiane Kameni Sahok | Home Health Aide | 8057 Ians Alley, Laurel, MD 20724 | 2016-03-24 |
| 1851641955 | Kelvinda Kamara | Nurse Practitioner | 7903 Orion Circle, D234 Nurse Practitioner On Call, Laurel, MD 20724 | 2012-09-16 |
| 1164787578 | Kaday Jalloh | Home Health Aide | 8605 Woodland Manor Drive, Laurel, MD 20724 | 2012-07-11 |
| Find all providers in zip 20724 | ||||
| Taxonomy Code | 363LP0222X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1982190567 | Consuela Scott Thompson | Nurse Practitioner | 1800 Orleans St Rm 2201, Baltimore, MD 21287-0010 | 2018-07-06 |
| 1861868408 | Rebecca Harris | Nurse Practitioner | 49 Montvieu Ct, Cockeysville, MD 21030-2648 | 2015-08-18 |
| 1285051896 | Elena Bertolino | Nurse Practitioner | 1800 Orleans St Ste 6320, Baltimore, MD 21287-4904 | 2014-03-20 |
| 1447672308 | Traci Elizabeth Antes | Nurse Practitioner | 1800 New Orleans St, Suite 6302, Baltimore, MD 21287-4904 | 2014-01-13 |
| 1417022294 | Ann Marie Felauer | Nurse Practitioner | 655 W Lombard Street, Suite 575c, Baltimore, MD 21201-4837 | 2006-11-21 |
| 1326645821 | Carly Elaine Harris | Nurse Practitioner | 4494 North Palmer Road, Bethesda, MD 20889-0001 | 2020-10-07 |
| 1316418908 | Patricia Dix | Nurse Practitioner | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2018-12-08 |
| 1427536267 | Sarah Keaney | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1590 | 2018-08-03 |
| 1912402777 | Denise Grant | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2018-03-26 |
| Find all providers with the same taxonomy | ||||
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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.