Active NPI
Sirinat Blake, FNP
- Family Nurse Practitioner
- Trinity, FL
National Provider Identifier
1295405363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11013740
- Practice address
- 3152 Little Rd # 162
Trinity, FL 34655-1864 - Phone
- (847) 289-5727
- NPI assigned
- Sep 20, 2021
- Last updated
- Sep 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11013740 | FL | Primary |
Addresses
Primary practice location
3152 Little Rd # 162
Trinity, FL 34655-1864
Mailing address
3152 Little Rd # 162
Trinity, FL 34655-1864
Phone (847) 289-5727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.66 of 100
- Quality
- 73.72
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.82 of 100
- Quality
- 85
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11013740 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1295405363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3152 LITTLE RD # 162",
"city": "TRINITY",
"state": "FL",
"postal_code": "346551864",
"telephone_number": "847-289-5727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3152 LITTLE RD # 162",
"city": "TRINITY",
"state": "FL",
"postal_code": "346551864",
"telephone_number": "847-289-5727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "SIRINAT",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-20",
"last_updated": "2021-09-20",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11013740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.