JANICE E BLAKE (NPI# 1902842024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902842024 |
| Entity Type | Individual |
| Full Name | JANICE E BLAKE |
| Credential | MSN ANP BC NPP |
| Practice Address |
110 Ho Plz Ithaca NY 14853-3102 |
| Practice Telephone | 6072556106 |
| Practice Fax Number | 6072543503 |
| Mailing Telephone | 6072556106 |
| Mailing Fax Number | 6072543503 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2011-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
3173951 | NY | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | F3014051 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F3014051 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F4010201 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548822000 | Janice Blake | Nurse Practitioner | 400 Saybrook Rd Ste 214, Middletown, CT 06457-4773 | 2019-07-05 |
| 1184770067 | Janice Blake | Psychologist | 141 Main St, Spencer, WV 25276-1414 | 2007-01-25 |
| Street Address |
110 HO PLZ |
| City | ITHACA |
| State | NY |
| Zip Code | 14853-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115016 | Zachary Trojnar | Registered Nurse | 110 Ho Plz, Cornell Health, Ithaca, NY 14853-1485 | 2020-02-05 |
| 1407496250 | Momina Hayy Mastan | Registered Nurse | 110 Ho Plz, Cornell Health, Ithaca, NY 14853 | 2020-01-09 |
| 1982267845 | Rachel Coye | Registered Nurse | 110 Ho Plz, Cornell Health, Ithaca, NY 14853 | 2019-04-17 |
| 1871055160 | Mark Slattery | Registered Nurse | 110 Ho Plz, Cornell Health, Ithaca, NY 14853 | 2019-04-04 |
| 1568923977 | Tingna Min | Registered Nurse | 110 Ho Plz, Cornell Health, Ithaca, NY 14853 | 2019-03-28 |
| 1417416181 | Jacqueline Rumsey | Registered Nurse | 110 Ho Plz, Cornell Health, Ithaca, NY 14853 | 2019-03-13 |
| 1740778984 | Emilee Frazier | Registered Nurse | 110 Ho Plz, Ithaca, NY 14853-3102 | 2018-04-24 |
| 1568950798 | Sarah Rhodes Forsyth | Registered Nurse | 110 Ho Plz, Ithaca, NY 14853-3102 | 2018-04-24 |
| 1497242853 | Amy Morris | Registered Nurse | 110 Ho Plz, Ithaca, NY 14853-3102 | 2018-04-20 |
| 1801383252 | Bridget Flanigan | Registered Nurse | 110 Ho Plz, Ithaca, NY 14853-3102 | 2018-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174018071 | Bernard Francis Depalma | Physical Therapist | Cornell University, 512 Campus Road, Teagle Hall, Ithaca, NY 14853 | 2018-06-25 |
| 1538665369 | Audrey Hulbert | Registered Nurse | Cornell Health, 110 Ho Plaza, Ithaca, NY 14853 | 2018-04-02 |
| 1851714752 | College of Veterinary Medicine | Pharmacy | Cornell University Phcy-vmc Bldg, Tower Rd, Ithaca, NY 14853 | 2014-01-28 |
| 1033486899 | Philipp Ewert | Specialist/Technologist | 512 Campus Road, Tegal Hall, Ithaca, NY 14853 | 2011-11-22 |
| 1174828339 | Jennifer A Keough | Specialist/Technologist | Teagle Hall, Campus Rd, Cornell University, Ithaca, NY 14853 | 2011-01-20 |
| 1811029275 | Chris Scarlata | Specialist/Technologist | Teagle Hall, Campus Rd., Ithaca, NY 14853 | 2007-03-12 |
| 1720077563 | Katherine Heiss Zang | Family Medicine | 110 Ho Plaza, Gannett Health Services, Ithaca, NY 14853 | 2005-10-14 |
| 1154828200 | Deborah Mitchell | Registered Nurse | Cornell Health, 110 Ho Plaza, Ithaca, NY 14853 | 2018-04-06 |
| 1881190221 | Dawn Plue | Registered Nurse | Cornell Health, 110 Ho Plaza, Ithaca, NY 14853 | 2018-04-04 |
| 1245736503 | Marie Davis | Registered Nurse | Cornell Health, 110 Ho Plaza, Ithaca, NY 14853 | 2018-04-04 |
| Find all providers in zip 14853 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700025525 | Ellen Jean Cramer | Nurse Practitioner | 1769 Ellis Hollow Rd, Ithaca, NY 14850-9654 | 2009-02-18 |
| 1134297633 | Marcy Schaeffer | Nurse Practitioner | 314 W State St, Ithaca, NY 14850-5432 | 2006-12-01 |
| 1558437715 | Dana Dicostanzo | Nurse Practitioner | 620 W Seneca St, Ithaca, NY 14850-3326 | 2006-11-28 |
| 1285244012 | Jessica Austin | Nurse Practitioner | 905 Hanshaw Rd Ste A, Ithaca, NY 14850-1549 | 2020-08-06 |
| 1407418478 | Elizabeth D Nowalk | Nurse Practitioner | 1780 Hanshaw Rd, Ithaca, NY 14850-9105 | 2019-07-01 |
| 1659890465 | Melissa Anne Pinckney | Nurse Practitioner | 101 Dates Dr, Ithaca, NY 14850-1342 | 2017-09-12 |
| 1598289993 | Nicole Ann Serrano | Nurse Practitioner | 8 Brentwood Dr, Ithaca, NY 14850-1871 | 2017-07-28 |
| 1922352111 | Zsofia Franck | Nurse Practitioner | 16 Brentwood Dr, Ithaca, NY 14850-1863 | 2012-11-09 |
| 1386968899 | Lisa M Benedetto | Nurse Practitioner | 132 Indian Creek Rd, Ithaca, NY 14850-1331 | 2010-03-26 |
| 1669540233 | Sueane Goodreau | Nurse Practitioner | 620 W Seneca St, Ithaca, NY 14850-3326 | 2006-12-01 |
| Find all providers in ITHACA | ||||
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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.