JESSICA ANN BANET BLAKE


Address: 200 Abraham Flexner Way, Louisville, KY 40202-1886
Phone: 5023673360

JESSICA ANN BANET BLAKE (NPI# 1033394226) 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) 1033394226
Entity Type Individual
Full Name JESSICA ANN BANET BLAKE
Credential FNP-C
Practice Address 200 Abraham Flexner Way
Louisville
KY 40202-1886
Mailing Address 100 E Liberty St Ste 800
Louisville
KY 40202-1428
Practice Telephone 5023673360
Practice Fax Number 5023673365
Mailing Telephone 5025874391
Enumeration Date 2008-01-07
Last Update Date 2018-04-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 3005563 KY Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
3005563 KY Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
71002575A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100115460 05

Other Providers JESSICA BLAKE

NPI Name Taxonomy Address Enumeration
1447898887 Jessica Rose Blake Physical Therapist Usahc Vicenza, Apo, AE 09630 2019-12-17
1770057085 Jessica Blake Dietitian, Registered 26905 Ne Virginia St, Duvall, WA 98019-8473 2019-01-20
1821501602 Jessica Blake Speech-Language Pathologist 9000 College St, Collinsville, IL 62234-1701 2017-11-15
1346322898 Jessica Michelle Blake Marriage & Family Therapist 300 Sunnyhills Dr, San Anselmo, CA 94960-1909 2006-10-20
1609406446 Jessica Anne Blake Nurse Practitioner 11949 Q St, Omaha, NE 68137-3503 2020-01-21
1932576709 Jessica Blake Occupational Therapy Assistant 339 E Maple St, North Canton, OH 44720-2593 2015-08-28
1477955755 Jessica Blake Registered Nurse 15101 Glenwood Ave, Stanley, KS 66223 2014-09-18
1013142991 Jessica Blake Social Worker 3100 E Ave Nw, Suite 101, Cedar Rapids, IA 52405-2962 2009-05-21
1699940221 Jessica Nicole Blake Speech-Language Pathologist 19670 State Road 120, Bristol, IN 46507-9131 2008-04-24

Office Location

Street Address 200 ABRAHAM FLEXNER WAY
City LOUISVILLE
State KY
Zip Code 40202-1886

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700889409 Justin Warren Smith Registered Nurse 200 Abraham Flexner Way, Louisville, KY 40202 2005-05-27
1063037687 Seth Lloyd Stewart Nurse Anesthetist, Certified Registered 200 Abraham Flexner Way, Louisville, KY 40202-2877 2020-06-09
1003443540 Erica Shireman Registered Nurse 200 Abraham Flexner Way, Louisville, KY 40202-2877 2020-03-25
1639711294 Uofl Health-louisville Inc Rehabilitation Unit 200 Abraham Flexner Way, Louisville, KY 40202-2877 2019-10-15
1457901738 Kristina Christmas Nurse Practitioner 200 Abraham Flexner Way, Louisville, KY 40202-2877 2019-09-18
1417504143 Natalie Frances Duffy Physician Assistant 200 Abraham Flexner Way, Louisville, KY 40202-2877 2019-08-19
1174189369 Zachery Weyandt Student in an Organized Health Care Education/Training Program 200 Abraham Flexner Way, Louisville, KY 40202-2877 2019-05-14
1447815832 Walter Payne Jr. General Acute Care Hospital 200 Abraham Flexner Way, Louisville, KY 40202-2877 2019-05-01
1053801019 William Ottis Mcglone IIi Podiatrist 200 Abraham Flexner Way, Louisville, KY 40202-2877 2018-05-15
1134618705 Nicholas John Laco General Acute Care Hospital 200 Abraham Flexner Way, Louisville, KY 40202 2018-05-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972129682 Garvit Chhabra Student in an Organized Health Care Education/Training Program 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 2020-06-18
1396367009 Richele Williams Student in an Organized Health Care Education/Training Program 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 2020-05-15
1942822028 Ahmed Khaled Saleh Student in an Organized Health Care Education/Training Program 500 S Jackson St, Room 305, Louisville, KY 40202 2020-05-12
1457972952 Mir Ali Raza Talpur Student in an Organized Health Care Education/Training Program 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 2020-05-06
1316575533 Abigail Hatfield Student in an Organized Health Care Education/Training Program Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 2020-04-01
1851929210 Madison Harmon Student in an Organized Health Care Education/Training Program Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 2020-03-31
1184252041 Marianna Weaver Student in an Organized Health Care Education/Training Program 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 2020-03-27
1700347341 Charles Jake Sadle Student in an Organized Health Care Education/Training Program Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 2019-03-27
1437616794 Paladina Health, LLC Family Medicine Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 2019-02-22
1205393568 Paladina Health, LLC Family Medicine Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 2019-02-22
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841891645 K Tierney Lanham LLC Nurse Practitioner 6431 Regency Ln, Louisville, KY 40207-2309 2020-11-06
1578192274 Brian W Oliver Nurse Practitioner 309 Iola Rd, Louisville, KY 40207-2917 2020-04-04
1942835624 Rebecca Spicer Nurse Practitioner 9805 Scarborough Ave, Louisville, KY 40272-2436 2020-03-03
1487288262 Centerpointe Health LLC Nurse Practitioner 10100 Linn Station Rd, Louisville, KY 40223-3861 2020-03-02
1750914438 Robin Elizabeth Masters Nurse Practitioner 2011 Lake Point Way Ste 202, Louisville, KY 40223-4229 2020-02-20
1629608286 Meagan Molestina Nurse Practitioner 411 E Chestnut St # 4b6b, Louisville, KY 40202-1713 2020-01-23
1255971131 Casey Lynn Potter Nurse Practitioner 411 Eaat Chestnut Street, Level 5a, Louisville, KY 40202-1713 2020-01-08
1487292033 Norton Children's Medical Group, LLC Nurse Practitioner 1930 Bishop Ln Ste 101710, Louisville, KY 40218-1921 2019-12-13
1548803273 Jessica L Withrow Nurse Practitioner 1900 Bluegrass Ave Ste 103, Louisville, KY 40215-1144 2019-10-25
1629627773 Latonya Renee Banks Nurse Practitioner 2210 Buechel Avenue, Suite 105, Louisville, KY 40218-2619 2019-09-10
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Competitor

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City LOUISVILLE
Zip Code 40202

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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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