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ROBERT DEMAREST BLAKE JR.
NPI 1285029389
Licensed Practical Nurse in Fillmore, NY

Active since April 06, 2015
11242 MILLS MILLS RD, FILLMORE, NY 14735(214) 223-1567 Get Directions Write a Review

NPPES record last updated: April 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert Demarest Blake Jr. NPPES

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

ROBERT DEMAREST BLAKE JR. (NPI 1285029389) is an individual licensed practical nurse in Fillmore, New York, licensed in New York (251326-1) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1285029389
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameROBERT DEMAREST BLAKE JR.
Location Address11242 MILLS MILLS RDFillmore, NY 14735-8622
Mailing Address11242 Mills Mills RdFillmore, NY 14735-8622 · (214) 223-1567
Phone(214) 223-1567
Sole ProprietorYes
Enumeration DateApril 6, 2015
✔ NPI 1285029389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 251326-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X · License 251326-1 (NY)
11242 MILLS MILLS RD, Fillmore, NY 14735
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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 Robert Blake's NPI number?

The NPI number for Robert Blake is 1285029389. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Robert Blake located?

Robert Blake practices at 11242 Mills Mills Rd, Fillmore, NY 14735. The listed phone number is (214) 223-1567.

What is Robert Blake's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Robert Blake was last updated on April 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.