1. Home
  2. Directory
  3. Florida
  4. Naples
  5. Nurse Practitioner
  6. NPI Profile

MS. STACEY KATHLEEN BLAKE APRN, FNP-C
NPI 1609279082
Nurse Practitioner - Family in Naples, FL

Active since September 30, 2014
1250 PINE RIDGE RD STE 101B, NAPLES, FL 34108(239) 919-7009 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 3, 2019, Dec 8, 2015 (2 updates tracked since 2015).

About Ms. Stacey Kathleen Blake Aprn, Fnp-c NPPES

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

MS. STACEY KATHLEEN BLAKE APRN, FNP-C (NPI 1609279082) is an individual family provider in Naples, Florida, licensed in Florida (9467859) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1609279082
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. STACEY KATHLEEN BLAKECredential: APRN, FNP-C
Location Address1250 PINE RIDGE RD STE 101BNaples, FL 34108-8913
Mailing Address2201 Regency Rd, Suite 501Lexington, KY 40503-2335 · (859) 523-7398 · Fax (859) 687-9648
Phone(239) 919-7009
Sole ProprietorNo
Enumeration DateSeptember 30, 2014
Last NPPES UpdateDecember 3, 20192 updates tracked since enumeration
✔ NPI 1609279082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in FL · 9467859✔ Licensed in KY · 3008973
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3008973 (KY)
1250 PINE RIDGE RD STE 101B, Naples, FL 34108
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100356460KY

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 Stacey Blake's NPI number?

The NPI number for Stacey Blake is 1609279082. It was assigned to this individual provider in the NPPES registry on September 30, 2014.

Where is Stacey Blake located?

Stacey Blake practices at 1250 Pine Ridge Rd Ste 101B, Naples, FL 34108. The listed phone number is (239) 919-7009.

What is Stacey Blake'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 Stacey Blake was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.