MARISA BETH BLAKE LPN
NPI 1417534108
Licensed Practical Nurse in Plattsburgh, NY

Q: What is Marisa Blake's NPI number?

The NPI number for Marisa Blake is 1417534108. It was assigned to this individual provider in the NPPES registry on March 27, 2021.

Q: What is Marisa Blake's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Marisa Blake was last updated on March 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 27, 2021

75 OAK ST, PLATTSBURGH, NY 12901(518) 562-8119(518) 562-8126 Get Directions Write a Review

NPPES record last updated: March 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marisa Beth Blake Lpn NPPES

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

MARISA BETH BLAKE LPN (NPI 1417534108) is an individual licensed practical nurse in Plattsburgh, New York, licensed in New York (311803) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1417534108

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMARISA BETH BLAKECredential: LPN

Location Address75 OAK STPlattsburgh, NY 12901-1805

Mailing Address75 Oak StPlattsburgh, NY 12901-1805 · (518) 562-8119 · Fax (518) 562-8126

Phone(518) 562-8119

Fax(518) 562-8126

Sole ProprietorNo

Enumeration DateMarch 27, 2021

NPPES CertifiedMarch 27, 2021

✔ NPI 1417534108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 311803

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

75 OAK ST, Plattsburgh, NY 12901

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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.

BERYL ANN GREGORY

Counselor (Addiction (Substance Use Disorder))

75 OAK ST
PLATTSBURGH, NY 12901

Clinton County (518) 570-0215

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 Marisa Blake's NPI number?

The NPI number for Marisa Blake is 1417534108. It was assigned to this individual provider in the NPPES registry on March 27, 2021.

Where is Marisa Blake located?

Marisa Blake practices at 75 Oak St, Plattsburgh, NY 12901. The listed phone number is (518) 562-8119.

What is Marisa Blake's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Marisa Blake was last updated on March 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.