Individual provider Active NPI

Brittany Alexandra Blake, DC

  • Chiropractor
  • Palmer, AK
National Provider Identifier
1053704304
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
599 Issued in AK
Practice address
809 S Chugach St Ste 1
Palmer, AK 99645-6665
Phone
(907) 745-2575
Fax
(907) 745-2576
NPI assigned
Mar 11, 2015
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 599 AK Primary

Addresses

Primary practice location

809 S Chugach St Ste 1
Palmer, AK 99645-6665

Mailing address

809 S Chugach St Ste 1
Palmer, AK 99645-6665
Phone (907) 745-2575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190327002116 AK Practitioner - Chiropractic 9537409685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Performance Chiropractic IncGroup PAC ID 7517203227, 2 clinicians

Practice addresses (Care Compare)

1030 S Colony Way
Palmer, AK 99645-6929

809 S Chugach St
Suite 1
Palmer, AK 99645-6665
Phone (907) 745-2575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
599AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Performance Chiropractic, Inc. Chiropractor CurrentSince Nov 6, 2018 Accepting new patients

Locations

1030 S Colony Way
Palmer, AK 99645
Phone (907) 745-2575

809 S Chugach St
Ste 1
Palmer, AK 99645
Phone (907) 745-2575

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1053704304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S CHUGACH ST STE 1",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456665",
            "telephone_number": "907-745-2575",
            "fax_number": "907-745-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S CHUGACH ST STE 1",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456665",
            "telephone_number": "907-745-2575",
            "fax_number": "907-745-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "BRITTANY",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.