ABBY LEE BLAKE DO
NPI 1184327637
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 23, 2023PECOS Enrolled
75 FRANCIS ST, BOSTON, MA 02115(617) 732-5500 Get Directions Write a Review

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

Record update history: Apr 8, 2026, Mar 23, 2023 (2 updates tracked since 2023).

About Abby Lee Blake Do NPPES

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

ABBY LEE BLAKE DO (NPI 1184327637) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of New England, College Of Osteo Medicine (2023).

NPPES Registry Identity

NPI1184327637
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameABBY LEE BLAKECredential: DO
Location Address75 FRANCIS STBoston, MA 02115-6110
Mailing Address1 Medical Center DrLebanon, NH 03756-1000
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2023
Enumeration DateMarch 23, 2023
Last NPPES UpdateApril 8, 20262 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
NPI 1184327637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 1025881 (MA)
75 FRANCIS ST, Boston, MA 02115

Secondary Practice Locations 2

Location 155 Fruit StBoston, MA 02114-2696 · Phone (617) 724-4100
Location 21 Medical Center Dr, DHMCLebanon, NH 03756-0001 · Phone (603) 650-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Abby Lee Blake Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527427228
PECOS Enrollment IDI20260414003902
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Internal Medicine (Gastroenterology)
75 FRANCIS ST
BOSTON, MA 02115
Neurological Surgery
75 FRANCIS ST
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST
BOSTON, MA 02115
Radiology (Diagnostic Radiology)
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Surgery (Vascular Surgery)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Internal Medicine (Infectious Disease)
75 FRANCIS ST
BOSTON, MA 02115
Emergency Medicine
75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115

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 Abby Blake's NPI number?

The NPI number for Abby Blake is 1184327637. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Abby Blake located?

Abby Blake practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-5500.

What is Abby Blake's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Abby Blake enrolled in Medicare?

Yes. Abby Blake is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Abby Blake was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.