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MS. MARY ELLEN TERESA BLAKESLEY BS
NPI 1073630786
Case Manager/Care Coordinator in Melbourne, FL

Active since March 26, 2007
2000 COMMERCE DR, MELBOURNE, FL 32904(321) 409-2170(321) 676-6652 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Ellen Teresa Blakesley Bs NPPES

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

MS. MARY ELLEN TERESA BLAKESLEY BS (NPI 1073630786) is an individual case manager/care coordinator provider in Melbourne, Florida and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1073630786
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMS. MARY ELLEN TERESA BLAKESLEYCredential: BS
Location Address2000 COMMERCE DRMelbourne, FL 32904-2335
Mailing Address2000 Commerce DrMelbourne, FL 32904-2335 · (321) 409-2170 · Fax (321) 676-6652
Phone(321) 409-2170
Fax(321) 676-6652
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073630786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
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.
2000 COMMERCE DR, Melbourne, FL 32904
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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.

MARIA SANDERS
Counselor (Mental Health)
2000 COMMERCE DR
WEST MELBOURNE, FL 32904
Brevard County (321) 676-6650
THE BREVARD HEALTH ALLIANCE, INC.
General Practice
2000 COMMERCE DR
MELBOURNE, FL 32904
Brevard County (321) 241-6800
TONYA DIX
Registered Nurse
2000 COMMERCE DR
WEST MELBOURNE, FL 32904
Brevard County (321) 676-6650
MEAGAN JIMENEZ
Counselor (Mental Health)
2000 COMMERCE DR
WEST MELBOURNE, FL 32904
Brevard County (321) 676-6650
ALIA PAYNE
Case Manager/Care Coordinator
2000 COMMERCE DR
W MELBOURNE, FL 32904
Brevard County (321) 914-4929
TRACEY WOLFF LMHC
Counselor (Mental Health)
2000 COMMERCE DR
MELBOURNE, FL 32904
Brevard County (321) 676-6688
MRS. DELORES ANNE TINELLI-THOMPSON MS
Case Manager/Care Coordinator
2000 COMMERCE DR
MELBOURNE, FL 32904
Brevard County (321) 676-6640
BREVARD HEALTH ALLIANCE INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2000 COMMERCE DR
MELBOURNE, FL 32904
Brevard County (321) 241-6800

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 Mary Ellen Blakesley's NPI number?

The NPI number for Mary Ellen Blakesley is 1073630786. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Mary Ellen Blakesley located?

Mary Ellen Blakesley practices at 2000 Commerce Dr, Melbourne, FL 32904. The listed phone number is (321) 409-2170.

What is Mary Ellen Blakesley's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Ellen Blakesley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.