ANNE B BLAKE NP NPI 1225089857

NPI Information

  • NPI: 1225089857
  • Provider Name: ANNE B BLAKE, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 710 DEWITT DR
    LUGOFF, SC
    ZIP 29078
  • Phone: (803) 438-7566

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NPI Details

Anne B Blake, NP is a family nurse practitioner in Lugoff, SC with 26 years of experience. Anne B Blake, NP NPI is 1225089857. 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:

710 DEWITT DR
LUGOFF, SC
ZIP 29078-069
Phone: (803) 438-7566
Fax: (803) 438-4371

The NPI 1225089857 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, denosumab, 1 mg (HCPCS:J0897)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Automated urinalysis test (HCPCS:81003)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Hemoglobin a1c level (HCPCS:83036)
  • Vitamin d-3 level (HCPCS:82306)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Pneumococcal vaccine, 13-valent (HCPCS:90670)
  • Administration of vaccine (HCPCS:90471)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 5/16/2006 and was last updated on 2/24/2012.

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
1363LF0000XNurse PractitionerFamily1450SOUTH CAROLINAYes

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
1NP0429MEDICAIDSOUTH CAROLINA
2500022911OTHERSOUTH CAROLINARAILROAD MEDICARE PIN
3B5703OTHERMEDCOST PIN
4P22414MEDICARE UPIN
5P224145360MEDICARE PINSOUTH 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: 11/21/2025

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