STEFANIE BLAKE (NPI# 1467904904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467904904 |
| Entity Type | Individual |
| Full Name | STEFANIE BLAKE |
| Practice Address |
3901 Beaubien Children's Hospital of Mi Detroit MI 48201 |
| Mailing Address |
4201 St. Antoine - Uhc 5d #226 University Pediatricians Detroit MI 48201-2153 |
| Practice Telephone | 3137455638 |
| Practice Fax Number | 3137455867 |
| Mailing Telephone | 3137454405 |
| Mailing Fax Number | 3139660665 |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
4704272308 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3901 BEAUBIEN CHILDREN'S HOSPITAL OF MI |
| City | DETROIT |
| State | MI |
| Zip Code | 48201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386604460 | Melissa Jane Gregory | Pediatrics | 3901 Beaubien, Children's Hospital of Mi, Detroit, MI 48201 | 2006-03-24 |
| 1114544277 | Binay Gurung | Student in an Organized Health Care Education/Training Program | 3901 Beaubien, Detroit, MI 48201 | 2020-07-06 |
| 1336679091 | Patrick L. Tomlinson | Nurse Practitioner | 3901 Beaubien, Children's Hospital of Mi, Detroit, MI 48201 | 2017-06-15 |
| 1073064416 | Cristy A. Guagenti | Nurse Practitioner | 3901 Beaubien, Children's Hospital of Mi, Detroit, MI 48201 | 2016-10-20 |
| 1114476728 | Anne E. Laurain | Nurse Practitioner | 3901 Beaubien, Children's Hospital of Mi, Detroit, MI 48201-2153 | 2016-09-23 |
| 1306295902 | Alexis Smith | Physician Assistant | 3901 Beaubien, Children's Hospital of Mi, Detroit, MI 48201-2153 | 2016-06-06 |
| 1194190512 | Colleen Elizabeth Rieck | Nurse Practitioner | 3901 Beaubien, Childre4n's Hospital of Mi, Detroit, MI 48201-2119 | 2015-12-10 |
| 1497124093 | Kara Fiegel | Physician Assistant | 3901 Beaubien, Children's Hospital of Mi, Detroit, MI 48201-2119 | 2015-09-24 |
| 1942681473 | Teresa Carlesimo | Nurse Practitioner | 3901 Beaubien, University Pediatricians/children's Hospital of Mi, Detroit, MI 48201 | 2015-06-10 |
| 1205216355 | Rasha Kazi | Pediatrics | 3901 Beaubien, Detroit, MI 48201-2119 | 2015-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245967 | Ashley Nicole Heffner | Nurse Practitioner | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201-2119 | 2020-11-02 |
| 1487260030 | Jessica Lee Moret | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-18 |
| 1407406507 | Melissa Hallman | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2019-09-19 |
| 1457861981 | Elizabeth Anne Schiller | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2017-10-11 |
| 1801338926 | Linley Badder | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2016-11-07 |
| 1750787941 | Jessy Andrew | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2014-11-14 |
| 1083050132 | Janet Ann Pizzino | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2013-05-16 |
| 1275871683 | Amy Jean Gutowski | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2013-01-18 |
| 1417254731 | Sheri Lynn Revell | Nurse Practitioner | 2799 W Grand Blvd, Wp3 Nicu, Detroit, MI 48202-2608 | 2011-02-23 |
| 1649570581 | Jessica Rose Harnish | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2010-10-26 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on STEFANIE 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.