SHADONNA ADOFI BLAKE LPN
NPI 1003206624
Licensed Practical Nurse in Far Rockaway, NY

Q: What is Shadonna Blake's NPI number?

The NPI number for Shadonna Blake is 1003206624. It was assigned to this individual provider in the NPPES registry on February 3, 2015. The provider is also known as Shadonna Adofi Gibson.

Q: What is Shadonna Blake's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shadonna Blake was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 03, 2015

1424 MOTT AVE, FAR ROCKAWAY, NY 11691(347) 752-2926 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shadonna Adofi Blake Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADONNA ADOFI BLAKE LPN (NPI 1003206624) is an individual licensed practical nurse in Far Rockaway, New York, licensed in New York (321286) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1003206624

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSHADONNA ADOFI BLAKECredential: LPN

Location Address1424 MOTT AVEFar Rockaway, NY 11691-5108

Mailing Address1424 Mott AveFar Rockaway, NY 11691-5108 · (347) 752-2926

Phone(347) 752-2926

Sole ProprietorNo

Enumeration DateFebruary 3, 2015

✔ NPI 1003206624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 321286

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1424 MOTT AVE, Far Rockaway, NY 11691

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Other Names 1

Former Name (1)Shadonna Adofi Gibson

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shadonna Blake's NPI number?

The NPI number for Shadonna Blake is 1003206624. It was assigned to this individual provider in the NPPES registry on February 3, 2015. The provider is also known as Shadonna Adofi Gibson.

Where is Shadonna Blake located?

Shadonna Blake practices at 1424 Mott Ave, Far Rockaway, NY 11691. The listed phone number is (347) 752-2926.

What is Shadonna Blake's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shadonna Blake was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.