Destiny Blake

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

345 W 42ND St
New York, NY 10036-6982

Phone

(212) 257-9677

NPI assigned

Feb 15, 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

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1366149700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 LAFAYETTE AVE APT 18E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381433",
            "telephone_number": "347-827-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W 42ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366982",
            "telephone_number": "212-257-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "DESTINY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kwanisha T. Blaize, FNP-BC
• Tracey Monique Blake-Dixon, PA-C
• Alistair Blake, LCSW
• Benjamin Blake
• Chanel Blake, COTA
• Essence Blake, MHC-LP
• Eva Sophia Blake
• James Alan Blake, M.D.
• Jeanine Pirozzi Blake, PHD
• Jennifer K Blake, DPT

• Case Manager/Care Coordinator in New York, NY
• Providers in New York, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.