MS. LEILA ICILLDA BLAKE (NPI# 1033252218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033252218 |
| Entity Type | Individual |
| Full Name | MS. LEILA ICILLDA BLAKE |
| Credential | LPN |
| Practice Address |
121 15 194 Street Springfield Gardens Queens NY 11413 |
| Practice Telephone | 7189493421 |
| Mailing Telephone | 7189493421 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 1651541 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02570390 | 05 |
| Street Address |
121 15 194 STREET SPRINGFIELD GARDENS |
| City | QUEENS |
| State | NY |
| Zip Code | 11413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327054 | Mireille Conserve | Licensed Practical Nurse | 226 145th Ave, Spring Field, NY 11413 | 2019-10-08 |
| 1619433208 | Taina Baker | Nurse Practitioner | 143-71 229th Street, Springfield Gardens, NY 11413 | 2019-02-19 |
| 1942764915 | Jacqueline Archer | Registered Nurse | 2212 145 Road, Springfiled Gardens, NY 11413 | 2019-01-24 |
| 1841709524 | Sandra Williams | Specialist | 145-79 223 St, Springfield Gardens, NY 11413 | 2017-09-25 |
| 1508375478 | Tamara Williams | Registered Nurse | 142-29 231 St, Springfield Gardens, NY 11413 | 2017-09-23 |
| 1184140113 | Igbans Home Care Services | Home Health | 21834 139 Avenue, Springfield Gardens, NY 11413 | 2017-08-22 |
| 1902328982 | Lauren Marie Cover | Psychologist | 134-42 227 Street, Laurelton, NC 11413 | 2017-07-12 |
| 1174061741 | Assured Home Companion Care Inc | Home Health | 13519 221st St, Laurelton, NY 11413 | 2017-02-03 |
| 1831631084 | Grace Elizabeth Jaramillo | Home Health | 135-11 229 Street, Ph, Laurelton, NY 11413 | 2016-11-04 |
| 1720530504 | Nadine Gordon | Licensed Practical Nurse | 182 03 143rd Ave, Springfield Garden, NY 11413 | 2016-10-27 |
| Find all providers in zip 11413 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699202499 | Jene Gooden | Licensed Practical Nurse | 3331 Beach 31 St, Queens, NY 11691 | 2017-05-11 |
| 1598126260 | Chinonye Benjamin | Licensed Practical Nurse | 85-35 Leffert Blvd, Kew Gardens, Queens, NY 11415 | 2016-03-09 |
| 1740660166 | Angella Montaque | Licensed Practical Nurse | 11518 174th Street, Jamaica, Queens, NY 11434 | 2015-06-01 |
| 1962891366 | Cathy Thompson | Licensed Practical Nurse | 164-34 O'donnell Road, Queens, NY 11433-1143 | 2015-01-22 |
| 1831466036 | Richard Chiou | Licensed Practical Nurse | 205-14 Linden Blvd, Suite 204, Queens, NY 11412 | 2011-11-17 |
| 1932349479 | Marjorie Johnson | Licensed Practical Nurse | 115-55 172dn Street, Queens, NY 11434 | 2009-02-24 |
| 1750520029 | Bolajoko Esther Dinyo | Licensed Practical Nurse | 112-32 223rd Street, Queens Village, Queens, NY 11429-2732 | 2009-02-11 |
| 1255596441 | Norah Eugenine Benjamin | Licensed Practical Nurse | 135-05 233rd St, Rosedale, Queens, NY 11422 | 2008-07-28 |
| 1528236338 | Jean Paul Fils | Licensed Practical Nurse | 21207 102avenue Apartmentb3 Queens Village, Queens, NY 11429 | 2008-02-14 |
| 1073702650 | Ebun Sola Adesanya | Licensed Practical Nurse | 110 50 213 Street, Queens, NY 11429 | 2007-10-18 |
| Find all providers in QUEENS | ||||
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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.