Individual provider Active NPI

Niah Emani Blaize

  • Home Health Registered Nurse
  • West Palm Beach, FL
National Provider Identifier
1679218663
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
9547064 Issued in FL
Practice address
5737 Okeechobee Blvd Ste 200
West Palm Beach, FL 33417-4364
Phone
(561) 971-3666
NPI assigned
May 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 9547064 FL Primary

Addresses

Primary practice location

5737 Okeechobee Blvd Ste 200
West Palm Beach, FL 33417-4364

Mailing address

4875 Alora Isles Dr Apt 2112
West Palm Beach, FL 33417-3624

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

LicenseStateTypeSpecialty
9547064FLMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
White Glove Community Care of Florida, Inc. CurrentSince May 8, 2022 Accepting new patients
White Glove Community Care of Florida, Inc. PastSince May 8, 2022 Accepting new patients

Locations

5737 Okeechobee Blvd
Ste 200
West Palm Beach, FL 33417
Phone (561) 917-3666

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1679218663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 ALORA ISLES DR APT 2112",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334173624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5737 OKEECHOBEE BLVD STE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334174364",
            "telephone_number": "561-971-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIZE",
        "first_name": "NIAH",
        "middle_name": "EMANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "9547064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.