Jane R Blake, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F300173 Issued in NY

Practice address

7 Community Dr
Buffalo, NY 14225-2523

Phone

(716) 505-5630

Fax

(716) 892-1936

NPI assigned

Jul 12, 2006

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063447456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 N FOREST RD",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681224",
            "telephone_number": "716-505-5630",
            "fax_number": "716-892-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COMMUNITY DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142252523",
            "telephone_number": "716-505-5630",
            "fax_number": "716-892-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "JANE",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F300173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "000560368001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "500006815",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joy E Blair, RN BSN
• Lisa Annette Blair, M.A., CCC/SLP
• Rita Blair, LPN
• Samantha Carmen Blair
• Donna Blaird-Wagner, NP
• Jessica J. Blakely, DDS
• Larusha Blakely
• Andrea Blakeslee, LMSW
• Jessica Blanar, PA-C
• Diane Blanchard, LPN

• Adult Health Nurse Practitioner in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.