Carol Blake, MSN, RN, CNS, Crnfa, Cnor, PC

Primary specialty

Perioperative Clinical Nurse SpecialistTaxonomy code 364SP2800X

License

RN036821 Issued in AZ

Legal business name

CAROL BLAKE, MSN, RN, CNS, CRNFA, CNOR, PC

Practice address

4091 E Nisbet Rd
Phoenix, AZ 85032-4767

Phone

(602) 971-8588

Fax

(602) 971-3887

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Carol Blake, CNS, CRNFA

Title

President

Phone

(602) 971-8599

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073678785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4091 E NISBET RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324767",
            "telephone_number": "602-971-8588",
            "fax_number": "602-971-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4091 E NISBET RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324767",
            "telephone_number": "602-971-8588",
            "fax_number": "602-971-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL BLAKE, MSN, RN, CNS, CRNFA, CNOR, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-971-8599",
        "authorized_official_credential": "CNS, CRNFA"
    },
    "taxonomies": [
        {
            "code": "364SP2800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Perioperative",
            "state": "AZ",
            "license": "RN036821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Carnes
• Sarah Carney, DDS
• Jason Carns, MD
• Karla Caro
• Carol Ann Ling, MD, PC
• Carol Rice, P.C.
• Paul Joseph Carollo, MC,NCC,LPC
• Carolyn Kurylas M D P C
• Alessandro Carotenuto, MD
• Sandra C Carothers, MA, LPC

• Clinical Nurse Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Nurse Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.