KRISTINA RENEE BLAKE
NPI 1053031633
Case Manager/Care Coordinator in Walla Walla, WA

Q: What is Kristina Blake's NPI number?

The NPI number for Kristina Blake is 1053031633. It was assigned to this individual provider in the NPPES registry on September 1, 2022.

Q: What is Kristina Blake's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristina Blake was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since September 01, 2022

1520 KELLY PL, WALLA WALLA, WA 99362(509) 838-4651 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 7, 2024, Sep 1, 2022 (2 updates tracked since 2022).

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About Kristina Renee Blake NPPES

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

KRISTINA RENEE BLAKE (NPI 1053031633) is an individual case manager/care coordinator provider in Walla Walla, Washington, licensed in Washington (171M00000X) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1053031633

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKRISTINA RENEE BLAKE

Location Address1520 KELLY PLWalla Walla, WA 99362-8607

Mailing AddressPo Box 959Yakima, WA 98907-0959 · (509) 524-2934

Phone(509) 838-4651

Sole ProprietorNo

Enumeration DateSeptember 1, 2022

Last NPPES UpdateApril 25, 20252 updates tracked since enumeration

NPPES CertifiedApril 25, 2025

✔ NPI 1053031633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in WA · 171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

1520 KELLY PL, Walla Walla, WA 99362

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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