Robin Collins Blake, N. D.,MSN

Key facts

NPI

1740378488

Entity type

Individual (NPI type 1)

Primary specialty

Adult Psychiatric/Mental Health Registered Nurse 163WP0809X

License

RN-178659 (OH)

Practice address

8845 Westlawn Blvd
Olmsted Falls, OH 44138-2414

Phone

(440) 239-0828

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Science - Nursing

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740378488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8845 WESTLAWN BLVD",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "441382414",
            "telephone_number": "440-239-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8845 WESTLAWN BLVD",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "441382414",
            "telephone_number": "440-239-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "ROBIN",
        "middle_name": "COLLINS",
        "name_prefix": "Mrs.",
        "credential": "N. D.,MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "RN-178659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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