Individual provider Active NPI

Blake Hardy, MSN, NP-C

  • Family Nurse Practitioner
  • Middleburg Heights, OH
National Provider Identifier
1972954469
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.019609 Issued in OH
Practice address
7380 Engle Rd
Middleburg Heights, OH 44130-3429
Phone
(440) 239-3438
NPI assigned
Jun 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.381635- OH
Family Nurse Practitioner 363LF0000X APRN.CNP.019609 OH Primary

Addresses

Primary practice location

7380 Engle Rd
Middleburg Heights, OH 44130-3429

Mailing address

1735 Glenross Blvd
Oregon, OH 43616-3838
Phone (419) 340-9065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL, TX, MA, OH, WA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20221220002677 AZ Practitioner - Nurse Practitioner 6608246392 Reassigns benefits to 1 organization
I20230110000162 FL Practitioner - Nurse Practitioner 6608246392 Reassigns benefits to 1 organization
I20230112001889 TX Practitioner - Nurse Practitioner 6608246392 Reassigns benefits to 1 organization
I20230113001866 MA Practitioner - Nurse Practitioner 6608246392 Reassigns benefits to 1 organization
I20230113002362 OH Practitioner - Nurse Practitioner 6608246392 Reassigns benefits to 1 organization
I20230301002360 WA Practitioner - Nurse Practitioner 6608246392 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.381635-OHMDRegistered Nurse
APRN.CNP.019609OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Dec 29, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Dec 29, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Apr 1, 2023 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Feb 14, 2023 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Oct 1, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Oct 1, 2022 Accepting new patients
Southern Arizona Urgent Care LLC Current Accepting new patients
Southern Arizona Urgent Care, LLC CurrentSince Nov 22, 2022 Accepting new patients
Southern Arizona Urgent Care, LLC CurrentSince Nov 22, 2022 Accepting new patients
Tenpenny Integrative Medical Center PastSince Aug 27, 2023 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Osteomedii Past Accepting new patients

Locations

3662 W Ina Rd
Ste 150
Tucson, AZ 85741
Phone (520) 900-7020

7725 N Oracle Rd
Ste 131
Tucson, AZ 85704
Phone (520) 544-2273

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 549-0212

4825 SW 148th Ave
Davie, FL 33330
Phone (954) 526-7291

915 W 49th St
Hialeah, FL 33012
Phone (305) 200-1225

4173 Worth Ave
#K105
Columbus, OH 43219
Phone (740) 268-2656

17903 W Lake Houston Pkwy
Ste 101
Humble, TX 77346
Phone (215) 570-6856

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1466899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1972954469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 GLENROSS BLVD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163838",
            "telephone_number": "419-340-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 ENGLE RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303429",
            "telephone_number": "440-239-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "BLAKE",
        "credential": "MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-26",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.381635-",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.019609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.