Blake & Blythe, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLAKE & BLYTHE, LLC

Practice address

1103 Cherry St
Monroe, NC 28110-3103

Phone

(704) 807-6769

NPI assigned

Jun 18, 2024

Last updated

Jun 18, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jonathan Tucker

Title

Ceo/Owner

Phone

(704) 807-6769

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1821831686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 CHERRY ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 CHERRY ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103103",
            "telephone_number": "704-807-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE & BLYTHE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "704-807-6769"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desire Dshae Bishop
• Brad Joseph Bissell, MD
• Nancy Evelyn Bizzell, MD
• Alexis Poindexter Blackburn, MSW, LCSWA
• Joy Blackwelder
• Leeann McCamy Blake, WHNP-BC
• Eusheakia Blakeney
• Roy C Blank, M.D.
• Tommy Michael Blankenship, CRNA
• Tamara Lavette Blount

• Community/Behavioral Health Agency in Monroe, NC
• Providers in Monroe, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.