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JESSICA BLAKE
NPI 1477955755
Nurse Practitioner in Stanley, KS

Active since September 18, 2014
15101 GLENWOOD AVE, STANLEY, KS 66223(913) 681-8866 Get Directions Write a Review

NPPES record last updated: July 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Blake NPPES

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

JESSICA BLAKE (NPI 1477955755) is an individual nurse practitioner in Stanley, Kansas, licensed in Kansas (53-76586) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1477955755
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJESSICA BLAKE
Location Address15101 GLENWOOD AVEStanley, KS 66223
Mailing Address15101 Glenwood AveStanley, KS 66223-3154
Phone(913) 681-8866
Sole ProprietorNo
Enumeration DateSeptember 18, 2014
Last NPPES UpdateJuly 25, 2018
✔ NPI 1477955755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KS · 53-76586
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 109445 (KS)
15101 GLENWOOD AVE, Stanley, KS 66223
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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.

DR. THEODORE J WILLIAMS M.D.
Family Medicine
15101 GLENWOOD AVE
STANLEY, KS 66223
Johnson County (913) 681-8866
KYLIE HAYS PA
Physician Assistant
15101 GLENWOOD AVE
STANLEY, KS 66223
Johnson County (913) 681-8866
DR. TOM KETTLER M.D.
Family Medicine
15101 GLENWOOD AVE
STANLEY, KS 66223
Johnson County (913) 681-8866
DR. ROBERT L SCHUCHARDT M.D.
Family Medicine
15101 GLENWOOD AVE
STANLEY, KS 66223
Johnson County (913) 681-8866
JORDAN MICHAEL CRAWFORD
Physician Assistant
15101 GLENWOOD AVE
OVERLAND PARK, KS 66223
Johnson County (913) 681-8866
OVERLAND PARK SURGICAL SPECIALTIES, LLC
Family Medicine
15101 GLENWOOD AVE
STANLEY, KS 66223
Johnson County (913) 681-8866
AMY J KAPPLE R.D. L.D. C.D.E.
Dietitian, Registered
15101 GLENWOOD AVE
STANLEY, KS 66223
Johnson County (913) 681-8866
MOLLYANNE ELIZABETH GIBSON BRUNKOW MD
Family Medicine
15101 GLENWOOD AVE
STANLEY, KS 66223
Johnson County (913) 681-8866

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 Jessica Blake's NPI number?

The NPI number for Jessica Blake is 1477955755. It was assigned to this individual provider in the NPPES registry on September 18, 2014.

Where is Jessica Blake located?

Jessica Blake practices at 15101 Glenwood Ave, Stanley, KS 66223. The listed phone number is (913) 681-8866.

What is Jessica Blake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jessica Blake was last updated on July 25, 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.