Alisha Blake, BSN-RN-PHN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

61550303 Issued in WA

Practice address

5410 NE Windermere Rd
Seattle, WA 98105-2161

Phone

(415) 867-2289

NPI assigned

Nov 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1134945157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 17TH AVE E APT 105",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981125205",
            "telephone_number": "415-867-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 NE WINDERMERE RD",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052161",
            "telephone_number": "415-867-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "ALISHA",
        "credential": "BSN-RN-PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "WA",
            "license": "61550303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Angela Blair, SUDP
• Stephanie Blair
• Terri Lynn Blair, RD
• Pierre Emmanuel Blais, M.D.
• Kara Marie Blaisdell, MD
• Robbin Blake, LMP
• Erin L Blakeney, RN
• Ginger Blakeney, M.D.
• Kyana Jordan Blakeney, AB61680995
• Leslie A Blakey Spencer

• Home Health Registered Nurse in Seattle, WA
• Providers in Seattle, WA by specialty
• Home Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.