Mary Ann Blake, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

667382 Issued in FL

Practice address

6950 NW 41St St
Miami, FL 33166-6815

Phone

(305) 470-2877

NPI assigned

Jul 25, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205859220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8965 SW 199TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331578971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 NW 41ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331666815",
            "telephone_number": "305-470-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "667382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katiana Dera Blaise, APRN
• Blaize a.L.F. Solutions, LLC
• Blake Stein Homecare Physical Therapy LLC
• David Alejandro Blake, LDO
• Jay B.B. Blake, PHARM.D.
• Rashida Shelby Lloyd Blake, M.D.
• Terrence Blake
• Natassha Nicole Blakeslee, ARNP
• Carline Blanc
• Carmelle Blanc

• Adult Health Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Adult Health Nurse Practitioner in Florida

• 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.