Haley Elise Blake, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

18023 Issued in SC

Practice address

1836 W Georgia Rd
Simpsonville, SC 29680-7212

Phone

(864) 675-1700

Fax

(864) 675-1705

NPI assigned

Oct 31, 2012

Last updated

Oct 31, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1689928582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 W GEORGIA RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807212",
            "telephone_number": "864-675-1700",
            "fax_number": "864-675-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 W GEORGIA RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807212",
            "telephone_number": "864-675-1700",
            "fax_number": "864-675-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "HALEY",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus E Blackstone, MD
• Thomas Harold Blackwell, MD
• Thomas Matthew Blackwell, DMD
• Lindsay Blair
• Christina L Blake, NP
• Amanda Blanton
• Benjamin Allen Blanton, DPT
• Melody Garner Blighton, MSW, LISW-CP
• David Blondeau
• Terry J. Blum Haas, MSW, LISW-CP

• Family Nurse Practitioner in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.