MS. TAI BLAKE (NPI# 1285868331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285868331 |
| Entity Type | Individual |
| Full Name | MS. TAI BLAKE |
| Credential | RN |
| Practice Address |
755 36th St Se Grand Rapids MI 49548-2319 |
| Mailing Address |
6070 In The Pines Dr Se Kentwood MI 49548-8503 |
| Practice Telephone | 6168975900 |
| Practice Fax Number | 6168975954 |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 4704255955 | MI | Nursing Service Providers |
| Street Address |
755 36TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49548-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104970524 | Dwight A Lafleur | Social Worker | 755 36th St Se, Grand Rapids, MI 49548-2319 | 2007-01-23 |
| 1275163396 | Eric Gerard Bullen Jr. | Social Worker | 755 36th St Se, Grand Rapids, MI 49548-2319 | 2020-01-16 |
| 1073013132 | Trisha Rose Ancel | Case Manager/Care Coordinator | 755 36th St Se, Grand Rapids, MI 49548-2319 | 2018-02-15 |
| 1063960102 | Ronald Hoogerwerf | Rehabilitation Practitioner | 755 36th St Se, Grand Rapids, MI 49548-2319 | 2016-09-19 |
| 1184022139 | Elizabeth Reynolds | Social Worker | 755 36th St Se, Grand Rapids, MI 49548-2319 | 2014-12-08 |
| 1043560154 | Allison Marie Degoede | Social Worker | 755 36th St Se, Grand Rapids, MI 49548-2319 | 2012-09-17 |
| 1851525422 | Raymond Peter Korstanje | Registered Nurse | 755 36th St Se, Grand Rapids, MI 49548-2319 | 2009-05-11 |
| 1336317338 | Karla Rene Baar | Social Worker | 755 36th St Se, Grand Rapids, MI 49548-2319 | 2008-02-13 |
| 1720134885 | Jenny Lyn Tolonen | Licensed Practical Nurse | 755 36th St Se, Grand Rapids, MI 49548-2319 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205319811 | Pooja Patel | Social Worker | Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2018-09-10 |
| 1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
| 1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
| 1629507801 | Laura Marie Quennoz | Psychiatry & Neurology | Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 | 2017-06-09 |
| 1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
| 1831540152 | Jesse Aubil | Counselor | 264 Montebello St. Se 49548, Grand Rapids, MI 49548 | 2016-06-28 |
| 1306237920 | Sarah Benton | Social Worker | 225 Colrain St Sw, 2, Grand Rapids, MI 49548 | 2015-02-18 |
| 1578996856 | Karen Marie Irving | Social Worker | 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2013-08-09 |
| 1740348044 | Robert Kenneth Richmond | Preventive Medicine | 551 36th Street. Se, Wyoming, MI 49548 | 2006-12-05 |
| 1386738953 | Sharita Montiez Hall | Social Worker | 300 68th Street Se, Grand Rapids, MI 49548 | 2006-10-03 |
| Find all providers in zip 49548 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1669097333 | Nathan Baar | Registered Nurse | 2230 Chesapeake Dr Ne, Grand Rapids, MI 49505-6407 | 2020-06-09 |
| 1689208597 | Kara Witmer | Registered Nurse | 1758 32nd St Se, Grand Rapids, MI 49508-1404 | 2020-02-29 |
| 1417587072 | Jared Jennings Poppen | Registered Nurse | 2561 Stockwood Dr Ne, Grand Rapids, MI 49505-3984 | 2020-01-23 |
| 1659901726 | Eryka Paige Dubois | Registered Nurse | 301 Fountain St Ne Apt 24, Grand Rapids, MI 49503-5628 | 2020-01-17 |
| 1518522531 | Teresa A Selgo | Registered Nurse | 2410 Westbrook Dr Nw, Grand Rapids, MI 49504-2343 | 2019-05-06 |
| 1144885443 | Jessica Parm | Registered Nurse | 756 Wealthy St Se, Grand Rapids, MI 49503-5554 | 2019-05-02 |
| 1508329244 | Sharon Ann Pietrzak | Registered Nurse | 1630 Saginaw Rd Se, Grand Rapids, MI 49506-5263 | 2019-04-10 |
| 1639631039 | Ruth Lois Ruiter | Registered Nurse | 1477 Langley St Se, Grand Rapids, MI 49508-3510 | 2019-04-03 |
| 1841751021 | Gloria Denise Sanders | Registered Nurse | 5935 Wind Brook Ave Se, Grand Rapids, MI 49508-0619 | 2019-03-28 |
| 1922568492 | James Sweet | Registered Nurse | 5715 Christie Ave Se, Grand Rapids, MI 49508-6236 | 2019-03-21 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49548 |
Please comment or provide details below to improve the information on MS. TAI 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.