CHRISTINA BLAKE (NPI# 1669880712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669880712 |
| Entity Type | Individual |
| Full Name | CHRISTINA BLAKE |
| Credential | RN, IBCLC |
| Practice Address |
4838 E Glenn St Tucson AZ 85712-1237 |
| Practice Telephone | 5203497745 |
| Mailing Telephone | 5203497745 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
L41735 | AZ | Nursing Service Providers |
| N | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
RN161795 | AZ | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245765841 | Christina L Blake | Registered Nurse | 391 Serpentine Dr, Suite 400, Spartanburg, SC 29303-3096 | 2017-04-21 |
| 1902134794 | Christina Marissa Blake | Family Medicine | 15717 15 Mile Rd, Clinton Township, MI 48035-2101 | 2009-12-07 |
| Street Address |
4838 E GLENN ST |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477003614 | Other Side Lactation, LLC | Registered Nurse | 4838 E Glenn St, Tucson, AZ 85712-1237 | 2016-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598239881 | Shelby Abramson | Registered Nurse | 839 W Congress St Dept, Tucson, AZ 85745-2819 | 2019-01-19 |
| 1083822159 | Shelley Joy Kaplan | Registered Nurse | 15099 N Rugged Lark Dr, Tucson, AZ 85739-8305 | 2007-05-20 |
| 1285840199 | Renee Vitali Palting | Registered Nurse | 7339 N Yucca Via, Tucson, AZ 85704-6226 | 2007-05-15 |
| 1457966012 | Maria Sara Villa | Registered Nurse | 3844 E Pima St, Tucson, AZ 85716-3308 | 2020-09-10 |
| 1124657358 | Ashley Coral Tellez | Registered Nurse | 3844 E Pima St, Tucson, AZ 85716-3308 | 2020-04-08 |
| 1306485404 | Ashley Osborne | Registered Nurse | 3844 E Pima St, Tucson, AZ 85716-3308 | 2020-01-06 |
| 1619443421 | Lianne Elizabeth Mourreale | Registered Nurse | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2018-10-18 |
| 1609392182 | Aliceann Paxton Christy | Registered Nurse | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2017-08-16 |
| 1477003614 | Other Side Lactation, LLC | Registered Nurse | 4838 E Glenn St, Tucson, AZ 85712-1237 | 2016-10-12 |
| 1780054346 | Beverly Carico | Registered Nurse | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2015-09-25 |
| Find all providers in TUCSON | ||||
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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.