CHRISTINA L BLAKE NP NPI 1245765841

NPI Information

NPI: 1245765841
Provider Name: CHRISTINA L BLAKE, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: EVIZZIT OF IOWA PSYCHIATRY PC

PECOS Registration: Yes

Address:
391 SERPENTINE DR
SUITE 400
SPARTANBURG, SC
ZIP 29303
Phone: (864) 560-7517
Get Directions

Christina L Blake, NP is a psychiatric/mental health nurse practitioner in Spartanburg, SC with 7 years of experience. Christina L Blake, NP NPI is 1245765841. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

391 SERPENTINE DR
SUITE 400
SPARTANBURG, SC
ZIP 29303-096
Phone: (864) 560-7517
Fax: (864) 560-7520

The NPI 1245765841 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/21/2017 and was last updated on 11/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		225614	SOUTH CAROLINA	No
2	363L00000X	Nurse Practitioner		211071	SOUTH CAROLINA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	21071	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	SCA8307652	OTHER		MEDICARE PIN
2	NP4579	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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