BLAKE LILES (NPI# 1750758355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750758355 |
| Entity Type | Individual |
| Full Name | BLAKE LILES |
| Practice Address |
598 Us-290 Dripping Spring TX 78620 |
| Practice Telephone | 5128580011 |
| Mailing Telephone | 5128580011 |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP128628 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
598 US-290 |
| City | DRIPPING SPRING |
| State | TX |
| Zip Code | 78620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659848943 | Corey Paul Devillier | Nurse Practitioner | 13830 Sawyer Ranch Rd Ste 102, Dripping Springs, TX 78620 | 2018-10-25 |
| 1023513751 | Southwest Austin Foot & Ankle Clinic | Podiatrist | 170 Benney Lane Ste 100, Dripping Springs, TX 78620 | 2018-03-26 |
| 1811405384 | Henly Community Clinic Pllc | Nurse Practitioner | 101 Hays St Ste 410, Dripping Springs, TX 78620 | 2018-01-17 |
| 1538674601 | Lifetime Recovery Academy Inc. | Clinic/Center | 13900 Sawyer Ranch Rd., Dripping Springs, TX 78620 | 2017-12-11 |
| 1639610421 | Dripping Springs Pediatric Dental, Pllc | Dentist | 2440 E Highway 290. Building C, Suite B, Dripping Springs, TX 78620 | 2017-03-14 |
| 1972059269 | Christine Kloppe | General Practice | 190 Easy St., Dripping Springs, TX 78620 | 2016-08-28 |
| 1407258775 | Rediclinic Austin, LLC | Clinic/Center | 598 E. Hwy Us 290, Dripping Springs, TX 78620 | 2014-09-18 |
| 1871904607 | Brenda Watkins | Dermatology | 170 Benney Ln Ste 203, Dripping Springs, TX 78620 | 2014-05-14 |
| 1043641657 | Elaine Brown | Counselor | 13900 Sawyer Ranch Rd, Dripping Springs, TX 78620 | 2013-12-06 |
| 1649541525 | Lauren Alisa Herrington Stewart | Counselor | 230 Sports Park Road, Dripping Springs, TX 78620 | 2012-01-24 |
| Find all providers in zip 78620 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | DRIPPING SPRING |
| Zip Code | 78620 |
Please comment or provide details below to improve the information on BLAKE LILES.
| 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.