Active NPI
Dorian R Blake, FNP
- Family Nurse Practitioner
- Englewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 902855
- Practice address
- 175 Inverness Dr W Ste 300
Englewood, CO 80112-5069 - Phone
- (720) 516-0634
- Fax
- (720) 516-0237
- NPI assigned
- Apr 25, 2018
- Last updated
- Feb 23, 2026
- 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 | 902855 | MS | Primary |
Addresses
Primary practice location
175 Inverness Dr W Ste 300
Englewood, CO 80112-5069
Mailing address
175 Inverness Dr W Ste 300
Englewood, CO 80112-5069
Phone (720) 516-0634
Other names 1
- Dorian R Clark
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
175 Inverness Dr W
Suite 300
Englewood, CO 80112-5069
Phone (303) 265-3390
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902855 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Summit Headache and Neurologic Institute, PC | Current | Accepting new patients | |
| Bienville Orthopaedic Specialists, LLC | Current | Accepting new patients | |
| Bienville Orthopaedic Specialists, LLC | Current | Accepting new patients |
Locations
175 Inverness Dr W
Ste 300
Englewood, CO 80112
Phone (720) 516-0634
601 E Hampden Ave
Ste 390
Englewood, CO 80113
Phone (303) 788-1430
1720A Medical Park Dr
Ste 220
Biloxi, MS 39532
Phone (228) 392-9355
6300 E Lake Blvd
Ste 201
Vancleave, MS 39565
Phone (228) 206-2263
6300 E Lake Blvd
Ste 301
Vancleave, MS 39565
Interoperability endpoints
- dblake@bienvilleortho.gwaydirect.com
- https://api.platform.athenahealth.com/6818/brand/1/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- Neurology Physician
- Englewood, CO
- NPI 1528344942
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
- Orthopaedic Surgery Physician
- Grand Bay, AL
- NPI 1659269454
-
- Orthopaedic Surgery Physician
- Vancleave, MS
- NPI 1689605834
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Highlands Ranch, CO
- NPI 1891294518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1396233490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 INVERNESS DR W STE 300",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801125069",
"telephone_number": "720-516-0634",
"fax_number": "720-516-0237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 INVERNESS DR W STE 300",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801125069",
"telephone_number": "720-516-0634",
"fax_number": "720-516-0237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "DORIAN",
"middle_name": "R",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-25",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "902855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DORIAN",
"last_name": "CLARK",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.