Active NPI
Anna Blake
- Behavior Analyst
- Raleigh, NC
National Provider Identifier
1770242588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 3348
- Practice address
- 5121 Kingdom Way
Raleigh, NC 27607-6062 - Phone
- (800) 442-2762
- NPI assigned
- Dec 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 3348 | NC | Primary |
Addresses
Primary practice location
5121 Kingdom Way
Raleigh, NC 27607-6062
Mailing address
175 S Harvest Ridge Way
Clayton, NC 27520-4864
Phone (910) 429-4943
Other names 1
- Anna Diehl
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3348 | NC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1770242588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 S HARVEST RIDGE WAY",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275204864",
"telephone_number": "910-429-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5121 KINGDOM WAY",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076062",
"telephone_number": "800-442-2762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-09",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "3348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "DIEHL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.