Cheryl Nadine Blake, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

203900 Issued in LA

Practice address

707 E Prien Lake Rd Ste a
Lake Charles, LA 70601-8788

Phone

(337) 475-3200

Fax

(337) 475-3222

NPI assigned

May 8, 2019

Last updated

May 8, 2019By 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

Other names 1

• Cheryl Callahan Blake Other name

Medicare fee-for-service enrollment

Enrolled in LA

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

Practice roles

Locations

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.

• Louisiana Department of Health - Office of Public Health

  dba Child Spec Health Services

  • Public Health or Welfare Agency
  • New Orleans, LA
  • NPI 1144372343
  Medicare reassignment NPD
• Louisiana Department of Health - Office of Public Health

  dba Office of Public Health

  • Public Health or Welfare Agency
  • Baton Rouge, LA
  • NPI 1396316212
  NPD
• Oph-Region 5-Nurse Family Partnership

  • Case Management Agency
  • Lake Charles, LA
  • NPI 1164584017
  NPD (past)

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1992360630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 W CABELLA DR",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706658774",
            "telephone_number": "337-244-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E PRIEN LAKE RD STE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018788",
            "telephone_number": "337-475-3200",
            "fax_number": "337-475-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "CHERYL",
        "middle_name": "NADINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "203900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "BLAKE",
            "middle_name": "CALLAHAN",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bio-Medical Applications of Louisiana, LLC (Fresenius Medical Care Central Lake Charles Dialysis)
• Ashley Bishop, LPN
• Kaitlyn Paige Black ER
• Madison Clare Blackwell, DO
• Kasey Blagrave
• Olivia Paige Blalock, RD
• Brandon Shea Blanchard, FNP
• Mikaela Blanchard
• Monica Blanchard, RN
• Travis Allison Blanchard, M.S., PLPC

• Nurse Practitioner in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.