Angela Velmarie Blake

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

453733 Issued in NY

Practice address

180 Pearsall Dr
Mount Vernon, NY 10552-3945

Phone

(347) 276-4146

NPI assigned

Dec 4, 2018

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": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1710457635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PEARSALL DR",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523945",
            "telephone_number": "347-276-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PEARSALL DR",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523945",
            "telephone_number": "347-276-4146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 pearsall",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "NY",
            "postal_code": "10552",
            "country_code": "US",
            "telephone_number": "347-276-4146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "ANGELA",
        "middle_name": "VELMARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "453733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sayoda Sadeek Bird, LICENSE PRACTICAL N
• Seth A Biser, M.D.
• Cheray S. Black, RN
• Cheryl Elizabeth Blackmon-Thorne, C.O.T.A.
• Camille Blackwood
• Julie Ann Blake, D.O.
• Lori B Blake
• Sardia Blake, PCT
• Nora A Blonda-Gil, DDS
• Daniel Yaw Boadu, NPP

• Registered Nurse in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.