Sandra Lherisson Blake, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

661877 Issued in TX

Practice address

100 Medical Dr
Lake Jackson, TX 77566-5674

Phone

(979) 285-1804

NPI assigned

Sep 17, 2007

Last updated

Sep 17, 2007By 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 1

Addresses

Other names 1

• Fritz Sandra Lherisson Blake Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• American Anesthesia Partners, PLLC

  • Anesthesiology Physician
  • Spring, TX
  • NPI 1528380177

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189987200000",
    "number": "1548456296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 ABNER JACKSON PKWY",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665674",
            "telephone_number": "979-285-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "SANDRA",
        "middle_name": "LHERISSON",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "661877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRITZ SANDRA",
            "last_name": "BLAKE",
            "middle_name": "LHERISSON",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• BHF Healthcare LLC
• Augnes Binu, FNP-C, ACNPC-AG
• Ivy Q Bishop, PA-C
• Tamria Denise Blackley, CPNP-PC
• Philmore Blake
• Cody Blanchard, ATP
• Angela Nicole Blanks, RN, FNP-C
• Julie Danette Bogaards, MS,CCC-SLP
• Blinn Stewart Bolcar-Lunsford, RN, MSN, FNP-C
• Melodie Bond, MA, LPC

• Certified Registered Nurse Anesthetist in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.