MS. DESIREE J.E. BLAKE (NPI# 1679955462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679955462 |
| Entity Type | Individual |
| Full Name | MS. DESIREE J.E. BLAKE |
| Credential | CNM |
| Practice Address |
4151 Holiday St Nw Canton OH 44718-2531 |
| Practice Telephone | 3304928001 |
| Practice Fax Number | 3304922080 |
| Mailing Telephone | 3304928001 |
| Mailing Fax Number | 3304922080 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN365269 | OH | Nursing Service Providers |
| Y | 367A00000X | Advanced Practice Midwife | COA17863NM | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912431214 | Desiree Blake | Behavior Technician | 23 E Ross Ave, Sapulpa, OK 74066-6423 | 2017-04-13 |
| Street Address |
4151 HOLIDAY ST NW |
| City | CANTON |
| State | OH |
| Zip Code | 44718-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366438046 | Thomas D Robinson | Specialist | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2005-09-27 |
| 1104106160 | Mary Beth Marburger | Nurse Practitioner | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2011-08-23 |
| 1285848333 | Breeze M Goodrich | Obstetrics & Gynecology | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2007-05-09 |
| 1053539866 | Sara L Lemin | Specialist | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2007-04-24 |
| 1568596864 | Jaime L Fox | Nurse Practitioner | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2007-03-16 |
| 1235262353 | Carol A Haupt | Nurse Practitioner | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2007-03-14 |
| 1306979661 | Stephanie I Hawkins | Nurse Practitioner | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2007-03-14 |
| 1699731877 | Craig Scott O'dear | Obstetrics & Gynecology | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2006-04-25 |
| 1598752669 | James R Wilson | Specialist | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2005-10-04 |
| 1922094622 | G Robert Fitz | Specialist | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2005-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
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| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740476332 | Tree of Life Midwifery | Advanced Practice Midwife | 89 Riverside Dr, Suite 3, Canton, NY 13617-3398 | 2007-09-18 |
| 1942344866 | Geraldine Mcelroy | Advanced Practice Midwife | 317 N Union St, Canton, MS 39046-3730 | 2007-02-16 |
| 1750309779 | Robin Gail Fincher | Advanced Practice Midwife | 602 S Trade Days Blvd, Canton, TX 75103-1826 | 2006-07-17 |
| 1932142635 | Patricia Marie Baller | Advanced Practice Midwife | 1470 E Valentine Circle Nw, Canton, OH 44708-3155 | 2006-06-13 |
| 1093787301 | Susan F Griggs | Advanced Practice Midwife | 227 Riverstone Dr, Canton, GA 30114-5256 | 2006-02-02 |
| 1902262868 | Healthcare Boutique Pllc | Advanced Practice Midwife | 602 S Trade Days Blvd, Canton, TX 75103-1826 | 2016-01-07 |
| 1578749172 | Ruth Miriam Roser | Advanced Practice Midwife | 227 Riverstone Dr, Canton, GA 30114-5256 | 2008-01-14 |
| 1225119332 | Kathryn Petrowski Bedikian | Advanced Practice Midwife | 1051 N Canton Center Rd, Canton, MI 48187-5097 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605088 | Erica Nicole Lotte | Advanced Practice Midwife | 134 Rolling Acre Dr, Lithopolis, OH 43136-9764 | 2020-10-02 |
| 1336756501 | Leighel Clare Webb | Advanced Practice Midwife | 3189 State Route 229, Ashley, OH 43003-8716 | 2020-09-30 |
| 1134736242 | Emily Jane Leonard | Advanced Practice Midwife | 768 Price Knl, Milford, OH 45150-1430 | 2020-09-23 |
| 1932712288 | Nicole Christina Smith | Advanced Practice Midwife | 8821 Foxgate Ct, Huber Heights, OH 45424-1103 | 2020-08-26 |
| 1154940260 | Olivia Brewer | Advanced Practice Midwife | 2022 Lewis Dr, Lakewood, OH 44107-6124 | 2020-04-09 |
| 1689225294 | Amanda Knittel | Advanced Practice Midwife | 29101 Health Campus Dr Ste 250, Westlake, OH 44145-5277 | 2019-09-25 |
| 1275181109 | Melissa Grace Miller | Advanced Practice Midwife | 2101 Adelbert Rd, Cleveland, OH 44106-2624 | 2019-09-04 |
| 1942798780 | Samantha M Buckholtz | Advanced Practice Midwife | 955 Worton Park Dr, Mayfield Village, OH 44143-3327 | 2018-04-26 |
| 1891203600 | Anna Marie Connair | Advanced Practice Midwife | 832 S Main St Ste 7&8, Orrville, OH 44667-2208 | 2018-01-15 |
| 1669991220 | Laura Allene Schrader | Advanced Practice Midwife | 9176 Winesburg Rd, Mount Eaton, OH 44659-0216 | 2017-09-14 |
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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.