TARA NICOLE BLAKE
NPI 1487519898
Licensed Practical Nurse in Peterstown, WV

Active since December 17, 2025
3633 SENECA TRL S, PETERSTOWN, WV 24963(304) 994-1490 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tara Nicole Blake NPPES

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

TARA NICOLE BLAKE (NPI 1487519898) is an individual licensed practical nurse in Peterstown, West Virginia, licensed in West Virginia (37492) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1487519898
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTARA NICOLE BLAKE
Location Address3633 SENECA TRL SPeterstown, WV 24963-5063
Mailing Address3633 Seneca Trl SPeterstown, WV 24963-5063 · (304) 994-1490
Sole ProprietorNo
Enumeration DateDecember 17, 2025
NPPES CertifiedDecember 17, 2025
NPI 1487519898 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 WV · 37492
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.
3633 SENECA TRL S, Peterstown, WV 24963

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 Tara Blake's NPI number?

The NPI number for Tara Blake is 1487519898. It was assigned to this individual provider in the NPPES registry on December 17, 2025.

Where is Tara Blake located?

Tara Blake practices at 3633 Seneca Trl S, Peterstown, WV 24963. The listed phone number is (304) 994-1490.

What is Tara 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 Tara Blake was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.