Timothy Blake, B.S.
Individual provider Active NPI Hearing Instrument Specialist · Reno, NV
NPI 1508288135 · NPPES record last updated Jan 16, 2014
Key facts
- NPI
- 1508288135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hearing Instrument Specialist 237700000X
- License
- 283 (NV)
- Practice address
- 343 Elm St
Suite 204
Reno, NV 89503-4522 - Phone
- (775) 329-7017
- Fax
- (775) 323-0749
- NPI assigned
- Jan 16, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 283 | NV | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bud a. West, M. D., LTD. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 283 | NV | Yes |
Addresses
Primary practice location
343 Elm St
Suite 204
Reno, NV 89503-4522
Mailing address
343 Elm St
Suite 204
Reno, NV 89503-4522
Phone (775) 329-7017
Other providers in Reno, NV
- Alexandra Leigh Blake
- Conrad James Blake
- Jacob L Blake
- Kenneth Blake
- Kimberly Blake
- William Blake
- Tiffany Marie Blakeman
- Laura Blakemore
- Richard Watson Blakey
- Robert Ralph Blalock
All providers in Reno, NV · Hearing Instrument Specialist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2014. 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.