BLAKE CHURCHMAN NPI 1861005548

NPI Information

  • NPI: 1861005548
  • Provider Name: BLAKE CHURCHMAN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 319 HOWARD LN
    MELBOURNE, FL
    ZIP 32935
  • Phone: (813) 361-0136

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NPI Details

Blake Churchman is a psychiatric/mental health nurse practitioner in Melbourne, FL. Blake Churchman NPI is 1861005548. 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:

319 HOWARD LN
MELBOURNE, FL
ZIP 32935-935
Phone: (813) 361-0136

The enumeration date for this NPI number is 8/24/2020 and was last updated on 1/17/2025.

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
1103K00000XBehavior AnalystFLORIDANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health11037263FLORIDAYes

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

NPI Synchronization or Removal

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