Active NPI
Tanya Blake
- Nurse's Aide
- Orlando, FL
National Provider Identifier
1881061372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CNA283280
- Practice address
- 5719 Riordan Way
Orlando, FL 32808-2433 - Phone
- (407) 844-1782
- Fax
- (321) 800-6803
- NPI assigned
- Aug 31, 2015
- Last updated
- May 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA283280 | FL | Primary |
Addresses
Primary practice location
5719 Riordan Way
Orlando, FL 32808-2433
Mailing address
5719 Riordan Way
Orlando, FL 32808-2433
Phone (407) 844-1782
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 |
|---|---|---|---|
| CNA283280 | FL | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independence for Florida Home Health. LLC | Past | Accepting new patients | |
| P.B.F Healthcare Service | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Orlando, FL
- NPI 1649630518
-
- Home Health Agency
- Orlando, FL
- NPI 1649647132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462665600000",
"number": "1881061372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5719 RIORDAN WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328082433",
"telephone_number": "407-844-1782",
"fax_number": "321-800-6803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5719 RIORDAN WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328082433",
"telephone_number": "407-844-1782",
"fax_number": "321-800-6803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "TANYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-31",
"last_updated": "2016-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "CNA283280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.