WANDA BLAKE (NPI# 1962888297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962888297 |
| Entity Type | Individual |
| Full Name | WANDA BLAKE |
| Practice Address |
4300 Rosemeade Pkwy Apt 812 Dallas TX 75287-2921 |
| Practice Telephone | 2142830892 |
| Mailing Telephone | 2142830892 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2278G1100X |
Respiratory Therapist, Certified Specialization: General Care |
62660 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578762803 | Wanda Lynn Blake | Massage Therapist | 1411 Sw 252nd Ter, Newberry, FL 32669-4416 | 2007-07-17 |
| Street Address |
4300 ROSEMEADE PKWY APT 812 |
| City | DALLAS |
| State | TX |
| Zip Code | 75287-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356846307 | Personal Health Assessment | Internal Medicine | 18320 Michael Angelo Drive, Dallas, TX 75287 | 2018-03-29 |
| 1275051807 | Vermelle Minor | Prosthetist | 4341 Horizon Pkwy 132, Dallas, TX 75287 | 2017-09-04 |
| 1831629625 | Tumikee Perry | Counselor | 2903 Renaissance Circle, Dallas, TX 75287 | 2017-06-14 |
| 1326594177 | Sweta Sheth Dds | Dentist | 18217 Midway Road #122, Dallas, TX 75287 | 2016-08-31 |
| 1003288259 | Hamid Reza Pirnajmedin | Specialist/Technologist, Other | 4808 Haverwood Ln Apt 1236, Dallas, TX 75287 | 2015-10-28 |
| 1013307313 | Kaelee Rae Kail | Occupational Therapist | 17480 Dallas Pkwy # 400, Dallas, TX 75287 | 2015-01-26 |
| 1568875318 | Nicole Carvacho | Physical Therapist | 17480 North Dallas Tollway, Addison, TX 75287 | 2014-06-10 |
| 1326451873 | Holly Davis | Speech-Language Pathologist | 17480 North Dallas Parkway, Suite 221, Dallas, TX 75287 | 2014-06-03 |
| 1033520077 | Tammy Duran | Non-emergency Medical Transport (VAN) | 3653 Briargrove Lane, 1513, Dallas, TX 75287 | 2014-05-13 |
| 1518393206 | Cole Wellness Center | Home Health | 4820 Sea Pine, Dallas, TX 75287 | 2013-09-25 |
| Find all providers in zip 75287 | ||||
| Taxonomy Code | 2278G1100X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Certified |
| Specialization | General Care |
| This level of care includes diagnostics testing, therapeutics, monitoring, rehabilitation of patients with disorders of the cardiopulmonary system, as well as, education of the patient and family in regard to those disorders. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023273 | Cesar Romeo Lopez | Respiratory Therapist, Certified | 2615 Gregg Dr, Edinburg, TX 78542-4496 | 2020-08-11 |
| 1518282326 | Kenneth Nsofor | Respiratory Therapist, Certified | 4914 Widerop Ln, Friendswood, TX 77546-3181 | 2010-04-05 |
| 1659452126 | Evellar Merritt | Respiratory Therapist, Certified | 2946 Carrizo Springs, Ct, Katy, TX 77449 | 2006-10-18 |
| 1326389750 | Andrew R Garza | Respiratory Therapist, Certified | 36000 Darnall Loop, Attn Mcxi-med-ps, Fort Hood, TX 76544-5095 | 2013-03-11 |
| 1598041618 | Humberto Carrizales Trevino | Respiratory Therapist, Certified | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2011-11-03 |
| 1104109727 | Emilio Carrasco IIi | Respiratory Therapist, Certified | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2011-09-20 |
| 1669754651 | James Allen Mccoy | Respiratory Therapist, Certified | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2011-09-15 |
| 1710217047 | Jolie Cornejo | Respiratory Therapist, Certified | 2245 Austin Ave, Mcallen, TX 78501-7079 | 2010-01-08 |
| 1366772600 | Humberto Alvarez | Respiratory Therapist, Certified | 2245 Austin Ave, Mcallen, TX 78501-7079 | 2010-01-08 |
| 1336479666 | Humberto Estrada | Respiratory Therapist, Certified | 2245 Austin Ave, Mcallen, TX 78501-7079 | 2010-01-08 |
| 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.