Darrin Andrews Blake
Individual provider Active NPI Athletic Trainer · Prescott Valley, AZ
NPI 1386512440 · NPPES record last updated Oct 29, 2025
Key facts
- NPI
- 1386512440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 001225 (AZ)
- Practice address
- 6000 E Long Look Dr
Prescott Valley, AZ 86314-2253 - Phone
- (928) 759-4000
- NPI assigned
- Oct 29, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001225 | AZ | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 001225 | AZ | Yes |
Addresses
Primary practice location
6000 E Long Look Dr
Prescott Valley, AZ 86314-2253
Mailing address
4901 N Stewart Rd
Prescott Valley, AZ 86314-3773
Other providers in Prescott Valley, AZ
- William Beverly
- Bio-Medical Applications of Arizona, LLC
- Bite and Babble Pediatric Feeding and Speech Therapy LLC
- Angela Blackinton
- Ashly Brook Blackwell
- Blue Hills Medical LLC
- Bernard Boateng
- Bobby L Raber DMD PLLC
- Bobby L. Raber DMD, PLLC
- Jennifer Ann Bomicino
All providers in Prescott Valley, AZ · Athletic Trainer in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.