LISA DOVE BLAKELY RN
NPI 1336678317
Registered Nurse - Administrator in Atlanta, GA

Q: What is Lisa Blakely's NPI number?

The NPI number for Lisa Blakely is 1336678317. It was assigned to this individual provider in the NPPES registry on June 5, 2017.

Q: What is Lisa Blakely's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Blakely was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 05, 2017

1659 WOODBRIDGE LN NE, ATLANTA, GA 30329(678) 548-1416 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jun 5, 2017 (2 updates tracked since 2017).

On this page

About Lisa Dove Blakely Rn NPPES

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

LISA DOVE BLAKELY RN (NPI 1336678317) is an individual administrator provider in Atlanta, Georgia, licensed in Georgia (RN127654) and active in the NPI registry since June 2017. She maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1336678317

Entity TypeIndividualFemale

Primary Taxonomy163WA2000X

Provider Legal NameLISA DOVE BLAKELYCredential: RN

Location Address1659 WOODBRIDGE LN NEAtlanta, GA 30329-3536

Mailing Address1659 Woodbridge Ln NeAtlanta, GA 30329-3536 · (678) 548-1416

Phone(678) 548-1416

Sole ProprietorYes

Enumeration DateJune 5, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1336678317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers

Taxonomy Code163WA2000X

License✔ Licensed in GA · RN127654

1659 WOODBRIDGE LN NE, Atlanta, GA 30329

Open in Google Maps ↗

Secondary Practice Location 1

Location 11659 Woodbrisge Lane NEAtlanta, GA 30329 · Phone (678) 548-1416

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 Lisa Blakely's NPI number?

The NPI number for Lisa Blakely is 1336678317. It was assigned to this individual provider in the NPPES registry on June 5, 2017.

Where is Lisa Blakely located?

Lisa Blakely practices at 1659 Woodbridge Ln NE, Atlanta, GA 30329. The listed phone number is (678) 548-1416.

What is Lisa Blakely's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

When was this NPI record last updated?

The NPPES record for Lisa Blakely was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.