Sharen Ann Blake, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

083038473N5 NMNP-PP Issued in OR

Practice address

Kaiser Sunnyside Hospital
10180 SE Sunnyside Rd
Clackamas, OR 97015

Phone

(503) 571-4550

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821157538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16454 SE ORMAE RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972675168",
            "telephone_number": "503-513-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KAISER SUNNYSIDE HOSPITAL",
            "address_2": "10180 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "97015",
            "telephone_number": "503-571-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "SHAREN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "083038473N5 NMNP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Joseph Bitney, DO
• Brian Bizub, MD
• Amber Leigh Black, MOT, OTR/L
• Paula Dawn Blacketor, M.D.
• Gregory James Blair, M.D.
• Bryan Blalock
• Christa Brady Blecher, MD
• Arrow Bless
• Blissful Balance LLC
• Eliza Bockstahler

• All providers in Clackamas, OR
• Advanced Practice Midwife in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.