MARY BLAKE (NPI# 1164780177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164780177 |
| Entity Type | Individual |
| Full Name | MARY BLAKE |
| Credential | ANP-C |
| Practice Address |
1214 Vaughn Rd Burlington NC 27217-2863 |
| Mailing Address |
10250 Strome Ave #205 Raleigh NC 27617-4367 |
| Practice Telephone | 3365320000 |
| Mailing Telephone | 7045788041 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2016-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
185227 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205859220 | Mary Ann Blake | Nurse Practitioner | 6950 Nw 41st St, Miami, FL 33166-6815 | 2006-07-25 |
| 1225635451 | Mary Elizabeth Blake | Counselor | 1001 Main St, Columbus, MS 39701-4751 | 2020-10-01 |
| 1174501928 | Mary E Blake | Counselor | 1320 Woodman Dr, Suite 200, Dayton, OH 45432-3497 | 2006-01-03 |
| 1245233402 | Mary Anne Blake | Obstetrics & Gynecology | 2201 Murphy Ave, Ste 102, Nashville, TN 37203-1835 | 2005-05-23 |
| Street Address |
1214 VAUGHN RD |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27217-2863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427055060 | Sharon A. Reilly | Family Medicine | 1214 Vaughn Rd, Burlington, NC 27217-2863 | 2005-06-28 |
| 1881209625 | Gillian Izlar | Physician Assistant | 1214 Vaughn Rd, Burlington, NC 27217-2863 | 2020-09-09 |
| 1790252278 | Nina Honeycutt | Social Worker | 1214 Vaughn Rd, Burlington, NC 27217-2863 | 2018-11-01 |
| 1619460961 | Robert Hollinshead Long | Dentist | 1214 Vaughn Rd, Burlington, NC 27217-2863 | 2018-06-12 |
| 1124572722 | Emily Headrick | Nurse Practitioner | 1214 Vaughn Rd, Burlington, NC 27217-2863 | 2016-08-11 |
| 1942634712 | Margaret Campbell | Registered Nurse | 1214 Vaughn Rd, Suite 101, Burlington, NC 27217-2863 | 2013-08-28 |
| 1003253543 | Sarah Elizabeth Stephens | Pediatrics | 1214 Vaughn Rd, Suite 101, Burlington, NC 27217-2863 | 2013-05-23 |
| 1215281902 | Piedont Health Services | PACE Provider Organization | 1214 Vaughn Rd, Burlington, NC 27217-2863 | 2012-11-01 |
| 1144578428 | Piedmonth Health Seniorcare | PACE Provider Organization | 1214 Vaughn Rd, Burlington, NC 27217-2863 | 2012-08-17 |
| 1790033165 | Cynthia Heather Wrenn | PACE Provider Organization | 1214 Vaughn Rd, Burlington, NC 27217-2863 | 2012-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174027197 | Robin Kecia Mann | Technician | 5044 George Miles Road, Burlington, NC 27217 | 2018-03-23 |
| 1003319302 | Universal Mental Health Services, Inc. | In Home Supportive Care | 2539 Hyde Street, Burlington, NC 27217 | 2018-03-13 |
| 1992229827 | Seth Isaac Barry | Pharmacist | 1009 W Main St., Burlington, NC 27217 | 2017-08-02 |
| 1639626153 | Nicole Spencer | Registered Nurse | 5270 Union Ridge Road, Burlington, NC 27217 | 2016-09-01 |
| 1649623869 | Deinyell Chelley | Community Health Worker | 2536 Mckinney Street, Burlington, NC 27217 | 2016-07-22 |
| 1093157240 | Alamance Academy, LLC | Community/Behavioral Health | 530 Rosenwald St, Burlington, NC 27217 | 2013-07-29 |
| 1063851897 | Talley Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2266 Fitch Road, Burlington, NC 27217 | 2013-06-14 |
| 1851739643 | Falcon Crest Residential | Community/Behavioral Health | 3309a N Nc Highway 49, Burlington, NC 27217 | 2013-06-13 |
| 1033554878 | Janice Putnam | Dietitian, Registered | 319 N Graham - Hopedale Road, Burlington, NC 27217 | 2013-05-07 |
| 1811226723 | Moving Forward | Community/Behavioral Health | 1146 N. Church St., Ste. A, Burlington, NC 27217 | 2009-12-24 |
| Find all providers in zip 27217 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1487173860 | Kameron Escajeda | Nurse Practitioner | 128 Lakeside Ave Ste 260, Burlington, VT 05401-5911 | 2017-09-16 |
| 1093257008 | Chetna Tailor | Nurse Practitioner | 811 Sunset Rd # 101, Burlington, NJ 08016-3645 | 2016-11-08 |
| 1003223678 | Gina Peek | Nurse Practitioner | 1550 Oxen Ln Se, Burlington, KS 66839-9127 | 2014-07-16 |
| 1407196181 | Patricia Wagoner Clapp | Nurse Practitioner | 906 N Anthony St, Burlington, NC 27217-6663 | 2013-02-18 |
| 1396021374 | Medijn Associates | Nurse Practitioner | 73 Jennifer Ln, Burlington, NJ 08016-1145 | 2011-10-23 |
| 1821266917 | Sara Robertson | Nurse Practitioner | 2716 Troxler Rd, Burlington, NC 27215-9187 | 2008-02-12 |
| 1730237074 | Tara M Chasnoff | Nurse Practitioner | 65 Caroline St, Burlington, VT 05401-4811 | 2007-01-05 |
| 1265455976 | Kristina Taylor Carr | Nurse Practitioner | 3504 Raccoon Run Dr, Burlington, NC 27215-9343 | 2006-07-25 |
| 1477501583 | Elizabeth Helen Burns | Nurse Practitioner | Fletcher Allen Health Care, 111 Colchester Ave, Burlington, VT 05401 | 2006-05-04 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27217 |
Please comment or provide details below to improve the information on MARY BLAKE.
| 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.