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KATIE JACQUELINE BLAKE
NPI 1053934430
Technician - Personal Care Attendant in Palm Bay, FL

Active since May 20, 2020
494 GANCEDO ST SW, PALM BAY, FL 32908(218) 269-1483 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katie Jacqueline Blake NPPES

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

KATIE JACQUELINE BLAKE (NPI 1053934430) is an individual personal care attendant in Palm Bay, Florida and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1053934430
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameKATIE JACQUELINE BLAKE
Location Address494 GANCEDO ST SWPalm Bay, FL 32908-1270
Mailing Address494 Gancedo St SwPalm Bay, FL 32908-1270 · (218) 269-1483
Phone(218) 269-1483
Sole ProprietorNo
Enumeration DateMay 20, 2020
NPPES CertifiedMay 20, 2020
✔ NPI 1053934430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
494 GANCEDO ST SW, Palm Bay, FL 32908
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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 Katie Blake's NPI number?

The NPI number for Katie Blake is 1053934430. It was assigned to this individual provider in the NPPES registry on May 20, 2020.

Where is Katie Blake located?

Katie Blake practices at 494 Gancedo St SW, Palm Bay, FL 32908. The listed phone number is (218) 269-1483.

What is Katie Blake's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Katie Blake was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.