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BLAKE DALFERES
NPI 1023907888
Specialist/Technologist - Athletic Trainer in Jefferson, LA

Active since June 28, 2025Accepts Medicare Assignment
620 HONORE DR, JEFFERSON, LA 70121(985) 285-0675 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 29, 2026, Jun 28, 2025 (2 updates tracked since 2025).

About Blake Dalferes NPPES

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

BLAKE DALFERES (NPI 1023907888) is an individual athletic trainer provider in Jefferson, Louisiana and active in the NPI registry since June 2025. The provider maintains a secondary practice location in Hammond and is a graduate of Other (2026).

NPPES Registry Identity

NPI1023907888
Entity TypeIndividual
Primary Taxonomy2255A2300X
Provider Legal NameBLAKE DALFERES
Location Address620 HONORE DRJefferson, LA 70121-1607
Mailing Address620 Honore DrJefferson, LA 70121-1607 · (985) 285-0675
Phone(985) 285-0675
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateJune 28, 2025
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1023907888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License 217193 (LA)
620 HONORE DR, Jefferson, LA 70121
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Secondary Practice Location 1

Location 115790 Paul Vega Md DrHammond, LA 70403-1436 · Phone (985) 230-2198 · Fax (985) 230-2159

Other Identifiers 1

Other217193LA · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Blake Dalferes is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749751972
PECOS Enrollment IDI20260608004244

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 Blake Dalferes's NPI number?

The NPI number for Blake Dalferes is 1023907888. It was assigned to this individual provider in the NPPES registry on June 28, 2025.

Where is Blake Dalferes located?

Blake Dalferes practices at 620 Honore Dr, Jefferson, LA 70121. The listed phone number is (985) 285-0675.

What is Blake Dalferes's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Is Blake Dalferes enrolled in Medicare?

Yes. Blake Dalferes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Blake Dalferes was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.