Ashley Harris Blake, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

5212236 Issued in FL

Practice address

1096 Joaquin Rd
Pensacola, FL 32506-8311

Phone

(954) 600-8452

NPI assigned

May 5, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ashley Deonne Harris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1013394402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 JOAQUIN RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325068311",
            "telephone_number": "954-600-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 JOAQUIN RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325068311",
            "telephone_number": "954-600-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "ASHLEY",
        "middle_name": "HARRIS",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5212236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "HARRIS",
            "middle_name": "DEONNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marc Blackburn, D.D.S.
• Donald L Blackmon Jr., MD
• Kevin Russell Blackmon, PT
• Stacia Blackmon
• Matthew Lewis Blair, D.O.
• McKenzie Blake
• Jared Christian Blakely
• Michelle L Blakeney
• Geneva G Blanchard, ARNP
• Heather Blanchard

• Licensed Practical Nurse in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.