KILEY NICOLE BLAKELY FNP-C
NPI 1366123374
Nurse Practitioner - Family in Garden Grove, CA

Q: What is Kiley Blakely's NPI number?

The NPI number for Kiley Blakely is 1366123374. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Q: What is Kiley Blakely's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kiley Blakely was last updated on July 31, 2023. 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.

Active since July 31, 2023

12051 BAYPORT ST APT 1-106, GARDEN GROVE, CA 92840(909) 680-2747 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kiley Nicole Blakely Fnp-c NPPES

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

KILEY NICOLE BLAKELY FNP-C (NPI 1366123374) is an individual family provider in Garden Grove, California, licensed in California (95026091) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1366123374

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKILEY NICOLE BLAKELYCredential: FNP-C

Location Address12051 BAYPORT ST APT 1-106Garden Grove, CA 92840-4430

Mailing Address12051 Bayport St Apt 1-106Garden Grove, CA 92840-4430 · (909) 680-2747

Phone(909) 680-2747

Sole ProprietorYes

Enumeration DateJuly 31, 2023

NPPES CertifiedJuly 31, 2023

✔ NPI 1366123374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95026091

12051 BAYPORT ST APT 1-106, Garden Grove, CA 92840

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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 Kiley Blakely's NPI number?

The NPI number for Kiley Blakely is 1366123374. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Kiley Blakely located?

Kiley Blakely practices at 12051 Bayport St Apt 1-106, Garden Grove, CA 92840. The listed phone number is (909) 680-2747.

What is Kiley Blakely's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kiley Blakely was last updated on July 31, 2023. 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.