Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHENNOA RACHELLE BLAKE RN
NPI 1386406189
Nurse Practitioner - Psychiatric/Mental Health in Towson, MD

Q: What is Shennoa Blake's NPI number?

The NPI number for Shennoa Blake is 1386406189. It was assigned to this individual provider in the NPPES registry on January 26, 2024.

Q: What is Shennoa Blake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Shennoa Blake was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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 January 26, 2024

849 FAIRMONT AVE, SUITE 200, TOWSON, MD 21286(313) 671-7187 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shennoa Rachelle Blake Rn NPPES

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

SHENNOA RACHELLE BLAKE RN (NPI 1386406189) is an individual psychiatric/mental health provider in Towson, Maryland, licensed in Maryland (R202334) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1386406189

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSHENNOA RACHELLE BLAKECredential: RN

Location Address849 FAIRMONT AVE, SUITE 200Towson, MD 21286

Mailing Address2001 W Cold Spring Ln Apt 231Baltimore, MD 21209-1475 · (313) 671-7187

Phone(313) 671-7187

Sole ProprietorNo

Enumeration DateJanuary 26, 2024

Last NPPES UpdateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1386406189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MD · R202334

Also ListedRegistered NurseTaxonomy 163W00000X · License R202334 (MD)

849 FAIRMONT AVE, Towson, MD 21286

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KYRAH ODUDU MA ,COA

Health Educator

849 FAIRMONT AVE, SUITE 200 #1018
TOWSON, MD 21286

Baltimore County (410) 870-9691

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 Shennoa Blake's NPI number?

The NPI number for Shennoa Blake is 1386406189. It was assigned to this individual provider in the NPPES registry on January 26, 2024.

Where is Shennoa Blake located?

Shennoa Blake practices at 849 Fairmont Ave Suite 200, Towson, MD 21286. The listed phone number is (313) 671-7187.

What is Shennoa Blake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Shennoa Blake was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.