MR. CHARLES EDWARD BLAKE


Address: 3141 N 3rd Ave, Suite 100, Phoenix, AZ 85013-4351
Phone: 6026896118

MR. CHARLES EDWARD BLAKE (NPI# 1972666154) 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) 1972666154
Entity Type Individual
Full Name MR. CHARLES EDWARD BLAKE
Credential FNP-BC
Practice Address 3141 N 3rd Ave
Suite 100
Phoenix
AZ 85013-4351
Mailing Address 322 W Orchid Ln
Phoenix
AZ 85021-4543
Practice Telephone 6026896118
Practice Fax Number 6029387277
Mailing Telephone 6026896118
Mailing Fax Number 6029387277
Enumeration Date 2006-12-18
Last Update Date 2010-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP2395 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Providers CHARLES BLAKE

NPI Name Taxonomy Address Enumeration
1952726994 Charles Blake Behavioral Analyst 5128 Nw 19th Ter, Oklahoma City, OK 73127-2306 2014-02-27
1144341280 Charles Richard Blake Family Medicine 2776 Whitespire Ct, Findlay, OH 45840-8637 2007-04-03
1043224272 Charles Bartlett Blake Registered Nurse 208 N 36th St, Nixa, MO 65714-7560 2006-07-27
1851362792 Charles Blake Physical Medicine & Rehabilitation 6565 E Carondelet Dr Ste 155, Tucson, AZ 85710 2006-01-30
1104892637 Charles Blake Physical Therapist Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223-5349 2006-02-24
1922081736 Charles R Blake Pharmacist 103 N Main St, Peebles, OH 45660-1246 2005-11-25
1386645224 Charles Richard Blake Ophthalmology 1600 Sw Archer Rd, Gainesville, FL 32610-0371 2005-08-02

Office Location

Street Address 3141 N 3RD AVE
SUITE 100
City PHOENIX
State AZ
Zip Code 85013-4351

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922006261 Brenda Lue Sipes Pediatrics 3141 N 3rd Ave, Phoenix, AZ 85013-4360 2005-07-11
1609414481 Emily Wirdzek Physical Therapist 3141 N 3rd Ave, Phoenix, AZ 85013-4360 2019-12-12
1235793118 Harlyn V. Chacon Social Worker 3141 N 3rd Ave, Phoenix, AZ 85013-4360 2019-04-26
1942794920 Nicholas Andrew Tanner Psychologist 3141 N 3rd Ave, Phoenix, AZ 85013 2018-06-21
1225520760 Olga Elena Fernandez-pereyra Speech-Language Pathologist 3141 N 3rd Ave, Phoenix, AZ 85013-4360 2018-05-31
1013427517 Dominica Wilhemina Dieffenbach Dietitian, Registered 3141 N 3rd Ave, Phoenix, AZ 85013-4360 2017-10-10
1457860694 Jennifer Lee Jaeckel Social Worker 3141 N 3rd Ave, Phoenix, AZ 85013-4360 2017-09-20
1518413012 Margarita Romero Dietitian, Registered 3141 N 3rd Ave, Phoenix, AZ 85013-4360 2016-08-25
1871945097 Courtney L. Ginter Physical Therapist 3141 N 3rd Ave, Phoenix, AZ 85013-4360 2016-07-12
1013362326 Lauren M Zimmerman Speech-Language Pathologist 3141 N 3rd Ave, Phoenix, AZ 85013 2016-04-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043833700 Marco Antonio Valdez Espinoza Student in an Organized Health Care Education/Training Program 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 2020-05-28
1518588292 Santiago Garcia Ortiz Student in an Organized Health Care Education/Training Program 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 2020-05-04
1356811970 Lynne Shaunte Coleman Nurse Practitioner 3633 N 3rd Ave 2019, Phoenix, AZ 85013 2018-11-26
1467949156 Solterra 3rd Indian School Operations, LLC Assisted Living Facility 4000 N 3rd Avenue, Phoenix, AZ 85013 2018-04-18
1083018345 Romelda Antonio Nurse Practitioner 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 2014-10-15
1760890131 Emmitt Michael Thompson General Practice 822 West Earll Drive, Phoenix, AZ 85013 2014-07-29
1902218480 Sreeja Biswas Roy Internal Medicine 350 W Thomas Road, Phoenix, AZ 85013 2014-06-02
1417381120 Osama Qasim Agha Internal Medicine 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 2013-08-29
1245679604 Oculist Exceptional Eyewear Pllc Optometrist 5043-b N 7th Ave, Phoenix, AZ 85013 2013-06-19
1760829352 Gina Wilding Nurse Practitioner 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 2013-05-23
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407456783 Brenna Michelle Clements Nurse Practitioner 3226 W Donatello Dr, Phoenix, AZ 85086-2200 2020-10-27
1932712825 Grace Wanjiru Karanja Adams Nurse Practitioner 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 2020-08-28
1649895574 Jozzette Elaine Rubio Nurse Practitioner 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 2020-06-16
1396360749 Ulivvo Inc. Nurse Practitioner 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 2020-06-11
1568087955 Christa Ann Colvin Nurse Practitioner 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 2020-06-10
1497378541 Sharon Uchechi Joshua Nurse Practitioner 9117 W Virginia Ave, Phoenix, AZ 85037-4233 2020-05-23
1992326102 Ashley Elizabeth Hall Nurse Practitioner 15810 N 18th St, Phoenix, AZ 85022-3302 2020-04-28
1750916797 Sebastian Freeman Smith Nurse Practitioner 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 2020-03-10
1295365724 Jessica Veasy Nurse Practitioner 7251 N 23rd Ave, Phoenix, AZ 85021-7714 2020-01-23
1568092526 Anuradha Lingamneni Nurse Practitioner 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 2020-01-18
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Competitor

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City PHOENIX
Zip Code 85013

Improve Information

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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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