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MS. ELIZABETH MIYU BLAKE ARNP
NPI 1639103237
Nurse Practitioner - Pediatrics in Pasco, WA

Active since July 10, 2006
301 N 10TH AVE, PASCO, WA 99301(509) 547-2429 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Jun 11, 2019, Apr 19, 2019 (3 updates tracked since 2019).

About Ms. Elizabeth Miyu Blake Arnp NPPES

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

MS. ELIZABETH MIYU BLAKE ARNP (NPI 1639103237) is an individual pediatrics provider in Pasco, Washington, licensed in Washington (AP30003638) and active in the NPI registry since July 2006. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639103237
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. ELIZABETH MIYU BLAKECredential: ARNP
Location Address301 N 10TH AVEPasco, WA 99301-5480
Mailing Address128 Woodland AvePort Townsend, WA 98368-5049 · (206) 422-4035
Phone(509) 547-2429
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
✔ NPI 1639103237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in WA · AP30003638✔ Licensed in WA · RN00118189
301 N 10TH AVE, Pasco, WA 99301
Open in Google Maps ↗

Other Names 1

Former Name (1)Elizabeth Larson

Secondary Practice Locations 2

Location 1501 -- 5th AveSeattle, WA 98104 · Phone (206) 296-4600
Location 29951 Mickelberry Rd NW, Ste 101Silverdale, WA 98383-8309 · Phone (360) 692-9362 · Fax (360) 692-6214

Other Identifiers 3

OtherAP30003638WA · Arnp License
Medicaid9620097WA
OtherRN00118189WA · Rn License

Other Providers at the Same Location NPPES 3

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

KALIFORNIA SMITH
Student in an Organized Health Care Education/Training Program
301 N 10TH AVE
PASCO, WA 99301
Franklin County (509) 547-2429
KATHY PEREZ RN
Registered Nurse (School)
301 N 10TH AVE
PASCO, WA 99301
Franklin County (509) 547-2429
TRICIA FOTHERINGHAM BSN, RN, NCSN
Registered Nurse (School)
301 N 10TH AVE
PASCO, WA 99301
Franklin County (509) 547-2429

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 Elizabeth Blake's NPI number?

The NPI number for Elizabeth Blake is 1639103237. It was assigned to this individual provider in the NPPES registry on July 10, 2006. The provider is also known as Elizabeth Larson.

Where is Elizabeth Blake located?

Elizabeth Blake practices at 301 N 10th Ave, Pasco, WA 99301. The listed phone number is (509) 547-2429.

What is Elizabeth Blake's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Elizabeth Blake was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.