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BLAKE MCREAVY
NPI 1336095751
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since March 09, 2026
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455(612) 626-2935 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blake Mcreavy NPPES

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

BLAKE MCREAVY (NPI 1336095751) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1336095751
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBLAKE MCREAVY
Location Address420 DELAWARE ST SEMinneapolis, MN 55455-0341
Mailing Address420 Delaware St SeMinneapolis, MN 55455-0341
Phone(612) 626-2935
Sole ProprietorYes
Enumeration DateMarch 9, 2026
NPPES CertifiedMarch 8, 2026
✔ NPI 1336095751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
420 DELAWARE ST SE, Minneapolis, MN 55455
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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.

KHALID AMIN MD
Pathology (Anatomic Pathology & Clinical Pathology)
420 DELAWARE ST SE, C463 MAYO MEMORIAL BLDG, MAYO MAIL CODE 76
MINNEAPOLIS, MN 55455
Hennepin County (913) 827-3505
MELISSA RICHARDSON PA-C
Physician Assistant
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-3000
DR. RAID SAID MOUSA YOUSEF M.D.
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE, MMC 11
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-7911
DR. DAVID YOUNG BALSER MD
Physical Medicine & Rehabilitation
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-2661
ALEXANDER TROESTER
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-6483
NIKITHA VOBUGARI MD
Internal Medicine (Hematology & Oncology)
420 DELAWARE ST SE, MMC 480
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-0400
THOMAS HOUGHLAND MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-5589
DR. ANUSHA L GOPALAM MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-5454

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 Blake Mcreavy's NPI number?

The NPI number for Blake Mcreavy is 1336095751. It was assigned to this individual provider in the NPPES registry on March 9, 2026.

Where is Blake Mcreavy located?

Blake Mcreavy practices at 420 Delaware St SE, Minneapolis, MN 55455. The listed phone number is (612) 626-2935.

What is Blake Mcreavy's specialty?

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

When was this NPI record last updated?

The NPPES record for Blake Mcreavy was last updated on March 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.