Tracey Powell Blake, RCP

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

108584 Issued in OH

Practice address

23916 Elm Road
North Olmsted, OH 44070

Phone

(440) 979-9665

NPI assigned

Dec 18, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1710216874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23916 ELM RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703730",
            "telephone_number": "440-979-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23916 ELM ROAD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "44070",
            "telephone_number": "440-979-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "TRACEY",
        "middle_name": "POWELL",
        "name_prefix": "Mrs.",
        "credential": "RCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-18",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "OH",
            "license": "108584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine E Billick, PSYD
• Jeffrey Edward Binder, D.O.
• Bioserenity DT Inc.
• Bioserenity USA, Inc.
• Amber Renee Bizga, D.D.S.
• John Robert Blakemore, D.D.S.
• William Stephen Blood, D.D.S. MD.
• Blue Ocean Medical Transportation
• Thomas Matthew Bobst, O.D.
• Miranda Boedeker

• Registered Respiratory Therapist in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Registered Respiratory Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.