Angela Church Blake, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

Practice address

600 New Waverly PL
Cary, NC 27518-7404

Phone

(919) 678-6900

NPI assigned

Apr 24, 2018

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 NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Interoperability endpoints

• Direct secure messaging: angela.blake.1@7773.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Uwh of the Carolinas, PLLC

  • Obstetrics & Gynecology Physician
  • Morrisville, NC
  • NPI 1639506470
  Medicare reassignment
• Whap, PA

  • Obstetrics & Gynecology Physician
  • Winston Salem, NC
  • NPI 1649261785
  NPD (past)

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1952899130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NEW WAVERLY PL",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187404",
            "telephone_number": "919-678-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NEW WAVERLY PL",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187404",
            "telephone_number": "919-678-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "ANGELA",
        "middle_name": "CHURCH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blackstone Counseling PLLC
• Amanda Maccreery Blackwelder, PT
• Joanna Blackwell
• Nancy Timmerman Blackwell, RPH
• Mariah Whisenhunt Blair, FNP-C
• David Wayne Blake, MBA, MC
• Hunter Christian Blake, LCMHCA
• Jacklyn Michele Blake, LCMHC, MBA
• Sharon F Blakeslee
• Freddie L Blakley II

• Advanced Practice Midwife in Cary, NC
• Providers in Cary, NC by specialty
• Advanced Practice Midwife in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.