Shennoa Rachelle Blake, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R202334 Issued in MD

Practice address

849 Fairmont Ave
Suite 200
Towson, MD 21286

Phone

(313) 671-7187

NPI assigned

Jan 26, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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

Locations

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.

• Student Health and Wellness Center

  • Student Health Clinic/Center
  • Baltimore, MD
  • NPI 1669699922
  NPD

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1386406189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W COLD SPRING LN APT 231",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091475",
            "telephone_number": "313-671-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 FAIRMONT AVE",
            "address_2": "SUITE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "313-671-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "SHENNOA",
        "middle_name": "RACHELLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R202334",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R202334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mari Blackburn, D.O.
• Jeaninne Blackwell, PMHNP-BC
• Arielle Blahus, PA-C
• Carolyn Janet Blair, PA-C
• Kristen Taylor Paige Blake, OD
• Blaker & Blaker Chiropractic PA
• Charles Allen Blaker, DOCTOR OF CHIROPRACT
• Frederick Keen Blaker, DOCTOR OF CHIROPRACT
• Katharine Blakeslee, LCSWC
• Alec Mitchel Blanca, PT, DPT

• Psychiatric/Mental Health Nurse Practitioner in Towson, MD
• Providers in Towson, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.