Nichole Blake-Little, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN9384476 Issued in FL

Practice address

2578 Limerick Cir
Grand Island, FL 32735-9006

Phone

(352) 870-3439

Fax

(352) 818-4476

NPI assigned

May 3, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Maymont Senior Advocate Group LLC

  • In Home Supportive Care Agency
  • Tavares, FL
  • NPI 1083303390
  NPD Authorized official
• Thriving Outlook for Prospering Seniors Inc

  • Adult Day Care Clinic/Center
  • Tavares, FL
  • NPI 1942990197
  NPD Authorized official

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1174212484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2578 LIMERICK CIR",
            "city": "GRAND ISLAND",
            "state": "FL",
            "postal_code": "327359006",
            "telephone_number": "352-870-3439",
            "fax_number": "352-818-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2578 LIMERICK CIR",
            "city": "GRAND ISLAND",
            "state": "FL",
            "postal_code": "327359006",
            "telephone_number": "352-870-3439",
            "fax_number": "352-818-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE-LITTLE",
        "first_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9384476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Brighter Day 365, L.L.C.
• Michael W Amedeo, RN
• Bloom Medical Group LLC
• Patricia M Brant, OT
• Breathing Clinic
• Shane Bridgman, DNP, APRN, AGNP-BC
• Patricia Elaine Brown I

• Home Health Registered Nurse in Grand Island, FL
• Providers in Grand Island, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.