Jennifer Marie Blake

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

DL498 Issued in ME

Practice address

96 Church St # 204
Belfast, ME 04915-6484

Phone

(207) 218-1702

NPI assigned

Jun 12, 2025

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

State licenses

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1295620805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 CHURCH ST # 204",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156484",
            "telephone_number": "207-218-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 CHURCH ST # 204",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156484",
            "telephone_number": "207-218-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "ME",
            "license": "DL498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Palmer Bergey, OTR
• Annesley Elizabeth Lord Beringer, PTA
• Jane N Bernier, DDS
• Diane Marie Bernosky
• Karen Lynn Betts, OTR/L
• Patricia Ann Blake, PTA
• Morgan Block
• Shana Bloomstein, PTA
• Sunny Rae Bolduc, OT/L, CLT
• Benjamin Borkan, LCSW

• All providers in Belfast, ME
• Hearing Instrument Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.