Leeann McCamy Blake, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

5008953 Issued in NC

Practice address

102 E Windsor St
Monroe, NC 28112-4837

Phone

(704) 774-1255

Fax

(704) 774-1226

NPI assigned

Sep 23, 2016

Last updated

Jan 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1538618178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E WINDSOR ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124837",
            "telephone_number": "704-774-1255",
            "fax_number": "704-774-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E WINDSOR ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124837",
            "telephone_number": "704-774-1255",
            "fax_number": "704-774-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "LEEANN",
        "middle_name": "MCCAMY",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008953",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5008953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Evelyn Bizzell, MD
• Alexis Poindexter Blackburn, MSW, LCSWA
• Joy Blackwelder
• Blake & Blythe, LLC
• Kathryn Blake
• Eusheakia Blakeney
• Roy C Blank, M.D.
• Tommy Michael Blankenship, CRNA
• Tamara Lavette Blount
• Kerry Blum

• Women's Health Nurse Practitioner in Monroe, NC
• Providers in Monroe, NC by specialty
• Women's Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.