CHERYL NADINE BLAKE (NPI# 1992360630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992360630 |
| Entity Type | Individual |
| Full Name | CHERYL NADINE BLAKE |
| Other Name | CHERYL CALLAHAN BLAKE |
| Credential | NP |
| Practice Address |
707 E Prien Lake Rd Ste A Lake Charles LA 70601-8788 |
| Mailing Address |
3560 W Cabella Dr Sulphur LA 70665-8774 |
| Practice Telephone | 3374753200 |
| Practice Fax Number | 3374753222 |
| Mailing Telephone | 3372444622 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 203900 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649214339 | Cheryl Yvette Blake | Nurse Anesthetist, Certified Registered | 65 Jimmie Lees Rd, Pomona, NJ 08240 | 2006-06-15 |
| Street Address |
707 E PRIEN LAKE RD STE A |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-8788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548522444 | Jeanne Lejeune Fontenot | Registered Nurse | 707 E Prien Lake Rd Ste A, Lake Charles, LA 70601-8788 | 2012-06-15 |
| 1528401924 | Cynthia Guillory Hymel | Registered Nurse | 707 E Prien Lake Rd Ste A, Lake Charles, LA 70601-8788 | 2013-04-16 |
| 1033464433 | Diana Lynn Williams | Nutritionist | 707 E Prien Lake Rd Ste A, Lake Charles, LA 70601-8788 | 2012-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1770192171 | Celeste Woodard Brown | Nurse Practitioner | 751 Bayou Pines East Dr Ste L, Lake Charles, LA 70601-7196 | 2020-07-31 |
| 1114331675 | Nancy Hopper Miller | Nurse Practitioner | 10071 Highway 385, Lake Charles, LA 70607-8672 | 2014-06-12 |
| 1083056915 | Lacey Whatley Vasilakis | Nurse Practitioner | 401 Dr Michael Debakey Dr Ste 200, Lake Charles, LA 70601-5864 | 2013-07-19 |
| 1093044752 | Bridgette Dawn Mitchell | Nurse Practitioner | 2770 3rd Ave Ste 225, Lake Charles, LA 70601-8994 | 2009-12-09 |
| 1013048438 | Linda L Chevallier | Nurse Practitioner | 386 Hwy 384, Lake Charles, LA 70607 | 2007-03-08 |
| 1407859937 | Andre' Fontenot Knapp | Nurse Practitioner | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2005-05-30 |
| 1033727490 | Decora R Franklin | Nurse Practitioner | 1801 Oak Park Blvd, Lake Charles, LA 70601-8900 | 2020-07-21 |
| 1538786132 | Morgan Leigh Hay | Nurse Practitioner | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2020-06-30 |
| 1598328189 | Joshua Clayton Gray | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2019-04-18 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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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.