Melinda K Blake, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71006530A Issued in IN

Practice address

6330 Digital Way
Indianapolis, IN 46278-1667

Phone

(317) 473-6688

NPI assigned

Aug 15, 2016

Last updated

Dec 9, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melinda.blake.1@30495.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Indiana University Health Urgent Care Centers, LLC.

  dba IU Health Urgent Care LLC

  • Urgent Care Clinic/Center
  • Greenwood, IN
  • NPI 1750763819
  Medicare reassignment NPD
• Newday Center

  • Substance Abuse Rehabilitation Facility
  • Bloomfield, IN
  • NPI 1700432341
  Medicare reassignment NPD
• Roadways to Recovery Inc.,

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bedford, IN
  • NPI 1740856483

  Nurse Practitioner

  Medicare reassignment NPD
• Wildest Kindness

  • Family Nurse Practitioner
  • Indianapolis, IN
  • NPI 1578336095
  NPD Authorized official
• Indiana University Health Urgent Care Centers, LLC

  dba IU Health Urgent Care Centers, LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Wayne, IN
  • NPI 1972273654
  NPD

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702080000000",
    "number": "1780138149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 DIGITAL WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 DIGITAL WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781667",
            "telephone_number": "317-473-6688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13694 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460321358",
            "country_code": "US",
            "telephone_number": "317-818-0969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "MELINDA",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2023-12-09",
        "certification_date": "2023-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28194809A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006530A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celena L Blake, LCSW
• Donna Marie Blake, N.P.-C.
• Ethan Jeffrey Blake, MD
• Hillary S Blake, PSYD
• Kara Mikayla Blake, RPH
• Rhonda J. Blake, OD
• Robert B Blake, MD
• Robert R. Blake, PH.D.
• Douglas Anthony Blakely, CAA
• Makala Blakely

• Family Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.