PAMELA J BLAKE CRNP NPI 1770538977

NPI Information

NPI: 1770538977
Provider Name: PAMELA J BLAKE, CRNP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Address:
619 19TH ST S
BIRMINGHAM, AL
ZIP 35249
Phone: (205) 934-6600
Get Directions

Pamela J Blake, CRNP is an obstetrics and gynecology nurse practitioner in Birmingham, AL. Pamela J Blake, CRNP NPI is 1770538977. 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:

619 19TH ST S
BIRMINGHAM, AL
ZIP 35249-900
Phone: (205) 934-6600

The enumeration date for this NPI number is 5/24/2006 and was last updated on 7/30/2012.

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
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	1054391	ALABAMA	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	051521386	OTHER	ALABAMA	BLUE CROSS
2	051521387	OTHER	ALABAMA	BLUE CROSS
3	051521390	OTHER	ALABAMA	BLUE CROSS
4	051521389	OTHER	ALABAMA	BLUE CROSS
5	891007730	MEDICAID	ALABAMA
6	051554939	OTHER	ALABAMA	BLUE CROSS
7	051521392	OTHER	ALABAMA	BLUE CROSS
8	051521391	OTHER	ALABAMA	BLUE CROSS
9	891007710	MEDICAID	ALABAMA
10	891007700	MEDICAID	ALABAMA
11	891007720	MEDICAID	ALABAMA
12	891007670	MEDICAID	ALABAMA
13	051521388	OTHER	ALABAMA	BLUE CROSS
14	891007690	MEDICAID	ALABAMA
15	891007680	MEDICAID	ALABAMA

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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