Irene Blake

Primary specialty

Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X

License

RN1009199 Issued in DC

Practice address

8211 Rambling Rose LN
Laurel, MD 20724-1964

Phone

(240) 505-2473

NPI assigned

Oct 3, 2016

Last updated

Oct 3, 2016By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: iblake506334@direct.hopkinsmedicine.org

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.

• Johns Hopkins University

  dba Jhu - Anesthesia Pain MGMT

  • Pain Medicine (Anesthesiology) Physician
  • Baltimore, MD
  • NPI 1922008549
  Medicare reassignment NPD
• Johns Hopkins University

  dba JHU - 4692 Millennium Drive - Physician

  • Ophthalmology Physician
  • Belcamp, MD
  • NPI 1376342774
  NPD
• Johns Hopkins University

  dba Jhu - ICU Associates

  • Critical Care Medicine (Anesthesiology) Physician
  • Baltimore, MD
  • NPI 1881694453
  NPD

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1902355803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 RAMBLING ROSE LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241964",
            "telephone_number": "240-505-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 RAMBLING ROSE LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241964",
            "telephone_number": "240-505-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "IRENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "DC",
            "license": "RN1009199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BK Behavioral Health Center
• BK Behavioral Health Center
• BK Behaviorial Health Center
• Janessa Blackwood, CPT 2 PHLEBOTOMIST
• Kenya Blake Codrington, FNP, PMHNP
• Louis Bland, M.D.
• Faith Emey Blapooh
• Nkegoah Tasong Bless
• Blessed Assurance Healthcare
• Block Counseling and Personal Wellness Strategies LLC

• Critical Care Pediatric Nurse Practitioner in Laurel, MD
• Providers in Laurel, MD by specialty
• Critical Care Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.