Active NPI
Nyee Bleck
- Nurse's Aide
- Takoma Park, MD
National Provider Identifier
1457716110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NA00605967
- Practice address
- 8714 Gilbert PL
4
Takoma Park, MD 20912-7215 - Phone
- (240) 595-8607
- NPI assigned
- Dec 23, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NA00605967 | DC | Primary |
Addresses
Primary practice location
8714 Gilbert PL
4
Takoma Park, MD 20912-7215
Mailing address
8714 Gilbert PL
4
Takoma Park, MD 20912
Phone (240) 595-8607
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA00605967 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA00605967 | DC | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450828800000",
"number": "1457716110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8714 GILBERT PL",
"address_2": "4",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "20912",
"telephone_number": "240-595-8607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8714 GILBERT PL",
"address_2": "4",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209127215",
"telephone_number": "240-595-8607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLECK",
"first_name": "NYEE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-23",
"last_updated": "2015-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "DC",
"license": "NA00605967",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NA00605967",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.