ANGELA RENEE BLAKE (NPI# 1679003198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679003198 |
| Entity Type | Individual |
| Full Name | ANGELA RENEE BLAKE |
| Practice Address |
5461 E Mayflower Ln Wasilla AK 99654-7892 |
| Practice Telephone | 9073576688 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528559119 | Angela Marie Blake | Registered Nurse | 500 W Silver Spring Dr Ste 200, Glendale, WI 53217-5051 | 2018-05-20 |
| 1710457635 | Angela Velmarie Blake | Registered Nurse | 180 Pearsall Dr, Mount Vernon, NY 10552-3945 | 2018-12-04 |
| 1952899130 | Angela Church Blake | Advanced Practice Midwife | 600 New Waverly Pl, Cary, NC 27518-7404 | 2018-04-24 |
| 1740644467 | Angela Blake | Specialist | 930 Raz Ave, New Windsor, NY 12553-4705 | 2016-04-08 |
| 1902176159 | Angela Jean Blake | Social Worker | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2012-01-05 |
| 1891882577 | Angela Monica Blake | Social Worker | 106 Milford St, Salisbury, MD 21804-6953 | 2006-10-06 |
| Street Address |
5461 E MAYFLOWER LN |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285833103 | All Seasons Family Health Care | Nurse Practitioner | 5461 E Mayflower Ln, Suite 4, Wasilla, AK 99654-7817 | 2007-07-11 |
| 1861050973 | Natalia Nagibina | Massage Therapist | 5461 E Mayflower Ln, Wasilla, AK 99654-7892 | 2019-06-04 |
| 1346703519 | Regina Burns | Massage Therapist | 5461 E Mayflower Ln, Wasilla, AK 99654-7892 | 2019-04-12 |
| 1225526825 | Gabrielle Hill | Massage Therapist | 5461 E Mayflower Ln, Wasilla, AK 99654-7892 | 2018-04-29 |
| 1316470024 | Jessi Whittom | Massage Therapist | 5461 E Mayflower Ln, Wasilla, AK 99654-7892 | 2017-04-10 |
| 1740713981 | Lori Paajanen | Massage Therapist | 5461 E Mayflower Ln, Wasilla, AK 99654 | 2017-04-05 |
| 1598179210 | Blaine Upham Dc PC | Chiropractor | 5461 E Mayflower Ln, Suite # 6, Wasilla, AK 99654-7892 | 2014-06-20 |
| 1780855130 | All Seasons Family Healthcare LLC | Nurse Practitioner | 5461 E Mayflower Ln, Suite 4, Wasilla, AK 99654-7817 | 2008-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104435650 | Maranatha Jubilee | Massage Therapist | 645 N Jessica Brooke Cir Ste D, Wasilla, AK 99654-7333 | 2020-07-29 |
| 1376189142 | Andree Jewell Akers | Massage Therapist | 1175 N Leatherleaf Loop, Wasilla, AK 99654-6527 | 2019-11-26 |
| 1407497209 | Rachel Summerlin | Massage Therapist | 501 N Knik St Ste B, Wasilla, AK 99654-7050 | 2019-10-02 |
| 1598316309 | Justice Kinne | Massage Therapist | 601 N Moriah Cir, Wasilla, AK 99623-0889 | 2019-09-23 |
| 1154974806 | Lonnie Urban | Massage Therapist | 4001 S Goose Bay Dr, Wasilla, AK 99623-9422 | 2019-07-22 |
| 1952963159 | Elisa King | Massage Therapist | 637 E Barra Loop, Wasilla, AK 99654-1607 | 2019-07-08 |
| 1558923052 | Amber Hauoli Jackson | Massage Therapist | 5820 W Locksley Loop, Wasilla, AK 99623-0874 | 2019-07-03 |
| 1417517566 | Talea Fiscus | Massage Therapist | 609 S Knik Goose Bay Rd Ste C, Wasilla, AK 99654-8079 | 2019-06-19 |
| 1922661537 | Ann Marie Diemer | Massage Therapist | 590 S Denali St, Wasilla, AK 99654-8117 | 2019-04-18 |
| 1649742586 | Garrett Wolf | Massage Therapist | 1624 E Scotwood Dr, Wasilla, AK 99654-1726 | 2018-12-17 |
| Find all providers in WASILLA | ||||
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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.