Blake Ashley Kovner, ND

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT60932107 Issued in WA

Practice address

117 Reynolda VLG Ste B
Winston Salem, NC 27106-5148

Phone

(336) 724-4452

NPI assigned

Jul 29, 2019

Last updated

Jul 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1891349841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 REYNOLDA VLG STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065148",
            "telephone_number": "336-724-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 REYNOLDA VLG STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065148",
            "telephone_number": "336-724-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVNER",
        "first_name": "BLAKE",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60932107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Elena Kouri, MD
• Brian Edward Kouri, MD
• Nicholas J Koutlas, MD
• Nicole Marie Lawing Koutlas, MD
• Daniel Douglas Kovacs, M.D.
• Patrick Michael Kozak, M.D.
• Melissa Lee Kozakiewicz, M.D.
• Dorothy Jane Kozar, ACNP
• Julie Shaun Kozel, WHNP
• Adam Matthew Kozemchak, MD

• Naturopath in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Naturopath in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.