MRS. IESHIA MIYA BLAKEY (NPI# 1467636589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467636589 |
| Entity Type | Individual |
| Full Name | MRS. IESHIA MIYA BLAKEY |
| Credential | APRN |
| Practice Address |
1000 Neighborhood Pl Fairdale KY 40118-9697 |
| Mailing Address |
2215 Portland Ave Louisville KY 40212-1033 |
| Practice Telephone | 5023612381 |
| Practice Fax Number | 5029968309 |
| Mailing Telephone | 5027748631 |
| Mailing Fax Number | 5027728189 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3005388 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100263420 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2215 Portland Ave, Louisville, KY 402121033 | 5027748631 | 5027728189 |
| Street Address |
1000 NEIGHBORHOOD PL |
| City | FAIRDALE |
| State | KY |
| Zip Code | 40118-9697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871546119 | Family Health Centers, Inc. | Clinic/Center | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2006-05-18 |
| 1528587789 | Terrica Michelle Flowers | Nurse Practitioner | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2017-09-19 |
| 1932308855 | Amanda Calloway Phillips | Registered Nurse | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2007-07-11 |
| 1114052677 | Manuel L Brown Jr. | Family Medicine | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2007-02-23 |
| 1316072960 | Louisville-jefferson County Metro Government | Public Health or Welfare | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2007-02-23 |
| 1942231113 | Dona J Meers | Nurse Practitioner | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952523805 | Mary Tyler Ewald | Dentist | 508 Fairdale Road, Fairdale, KY 40118 | 2007-05-02 |
| 1477688802 | Lousville-jefferson County Metro Government | Public Health or Welfare | 9110 National Turnpike, Fairdale, KY 40118 | 2007-02-23 |
| 1467520783 | Mosen Rashid Khani | Chiropractor | 10701 W. Manslick Rd., Fairdale, KY 40118 | 2006-12-04 |
| 1871715300 | Baughman & Ewald, P.s.c. | Point of Service | 508 Fairdale Road, Fairdale, KY 40118 | 2007-05-03 |
| 1700221124 | Andrea Edwards | Licensed Practical Nurse | 10107 Keys Ferry Rd, Fairdale, KY 40118-9033 | 2013-04-30 |
| 1174808984 | Shelley Lampe | Developmental Therapist | 10617 Jefferson Hill Rd, Fairdale, KY 40118-9042 | 2011-10-13 |
| 1336706860 | Keyonna Johnson | Social Worker | 227 Tex Ave, Fairdale, KY 40118-9103 | 2019-05-21 |
| 1447642020 | Towns Family Services, LLC | Home Health | 9409 Brown Austin Rd, Fairdale, KY 40118-9532 | 2015-02-19 |
| 1235615568 | Valeri Elzy | Massage Therapist | 10406 W Manslick Rd, Fairdale, KY 40118-9547 | 2018-07-19 |
| 1831255116 | Alliance Chiropractic of Se, LLC | Chiropractor | 10701 W Manslick Rd, Fairdale, KY 40118-9581 | 2006-12-29 |
| Find all providers in zip 40118 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528587789 | Terrica Michelle Flowers | Nurse Practitioner | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2017-09-19 |
| 1942231113 | Dona J Meers | Nurse Practitioner | 1000 Neighborhood Pl, Fairdale, KY 40118-9697 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518661 | Kimberly Sue Moore | Nurse Practitioner | 1196 Sardis Rd, Mount Olivet, KY 41064-7580 | 2020-11-02 |
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1053911065 | Ashley Renee Smith | Nurse Practitioner | 8367 Stonelick Rd, Maysville, KY 41056-9432 | 2020-10-28 |
| 1629677117 | Shelby A Rollings | Nurse Practitioner | 100 Clint Hill Blvd, Paducah, KY 42001-6771 | 2020-10-26 |
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1710586466 | Jamie Rae Ratcliff | Nurse Practitioner | 141 Ky Route 1428, Prestonsburg, KY 41653-1506 | 2020-10-23 |
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1942809033 | Lauren Elizabeth Tobler | Nurse Practitioner | 32 Burdsall Ave, Fort Mitchell, KY 41017-2802 | 2020-10-20 |
| 1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.