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KRISTEN NICOLE BLAKE
NPI 1366016669
Social Worker in Tulsa, OK

Active since May 20, 2021PECOS EnrolledAccepts Medicare Assignment
2325 S HARVARD AVE, TULSA, OK 74114(918) 712-4301 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 10, 2022, Jun 15, 2021, Jun 7, 2021 and 1 more (4 updates tracked since 2021).

About Kristen Nicole Blake NPPES

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

KRISTEN NICOLE BLAKE (NPI 1366016669) is an individual social worker in Tulsa, Oklahoma and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366016669
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKRISTEN NICOLE BLAKE
Location Address2325 S HARVARD AVETulsa, OK 74114-3300
Mailing Address1008 W Inglewood StBroken Arrow, OK 74011-4432 · (918) 637-0203
Phone(918) 712-4301
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 20, 2021
Last NPPES UpdateOctober 10, 20224 updates tracked since enumeration
NPPES CertifiedOctober 10, 2022
✔ NPI 1366016669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2325 S HARVARD AVE, Tulsa, OK 74114
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Other Identifiers 1

Other730580270OK · Group Fein

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristen Nicole Blake is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789172776
PECOS Enrollment IDI20251022000900
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.

TAMARA CAROL DANLEY BA
Case Manager/Care Coordinator
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 712-4301
LORI ARP
Registered Nurse
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 712-4301
MRS. JENNIFER BLACK
Counselor
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 712-4301
MICHAEL ALAN WREST
Case Manager/Care Coordinator
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 712-4301
TOLISSA AUTRY MHR
Case Manager/Care Coordinator
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 859-0986
KASSIDY JADE MUROHY RN
Registered Nurse
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (209) 588-6948
SUMMER LUANN WILDE RSS
Case Manager/Care Coordinator
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 712-4301
JULIEN DOH
Case Manager/Care Coordinator
2325 S HARVARD AVE
TULSA, OK 74114
Tulsa County (918) 712-4301

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 Kristen Blake's NPI number?

The NPI number for Kristen Blake is 1366016669. It was assigned to this individual provider in the NPPES registry on May 20, 2021.

Where is Kristen Blake located?

Kristen Blake practices at 2325 S Harvard Ave, Tulsa, OK 74114. The listed phone number is (918) 712-4301.

What is Kristen Blake's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kristen Blake enrolled in Medicare?

Yes. Kristen Blake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kristen Blake accept?

Health plans from Medica list Kristen Blake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristen Blake was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.