Active NPI
Anita T Blenke, PA-C
- Physician Assistant
- Miami, FL
National Provider Identifier
1043432644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 9101562
- Practice address
- 1150 NW 14TH St
6TH Floor
Miami, FL 33136-2137 - Phone
- (305) 243-6732
- Fax
- (305) 243-8015
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 9101562 | FL | Primary |
Addresses
Primary practice location
1150 NW 14TH St
6TH Floor
Miami, FL 33136-2137
Mailing address
1974 NE 178TH St
North Miami Beach, FL 33162-2208
Phone (305) 947-6273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9101562 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Past | Accepting new patients | |
| University of Miami | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Miami, FL
- NPI 1588613939
-
- Neurocritical Care Physician
- Miami, FL
- NPI 1669888509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327104000000",
"number": "1043432644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1974 NE 178TH ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331622208",
"telephone_number": "305-947-6273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 NW 14TH ST",
"address_2": "6TH FLOOR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331362137",
"telephone_number": "305-243-6732",
"fax_number": "305-243-8015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLENKE",
"first_name": "ANITA",
"middle_name": "T",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2012-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 9101562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.