MARY L BLAKE REEVES
NPI 1710937073
Nurse Practitioner in Saint Louis, MO

Q: What is Mary Blake Reeves's NPI number?

The NPI number for Mary Blake Reeves is 1710937073. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Q: What is Mary Blake Reeves's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Blake Reeves was last updated on September 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 May 10, 2006

4626 LEE AVE, SAINT LOUIS, MO 63115(314) 385-7726 Get Directions Write a Review

NPPES record last updated: September 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary L Blake Reeves NPPES

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

MARY L BLAKE REEVES (NPI 1710937073) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (068911) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1710937073

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY L BLAKE REEVES

Location Address4626 LEE AVESaint Louis, MO 63115-2431

Mailing Address5535 Delmar BlvdSaint Louis, MO 63112-3005 · (314) 879-6300 · Fax (314) 879-6372

Phone(314) 385-7726

Sole ProprietorNo

Enumeration DateMay 10, 2006

Last NPPES UpdateSeptember 19, 2011

✔ NPI 1710937073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MO · 068911

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.

4626 LEE AVE, Saint Louis, MO 63115

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Other Identifiers 5

Other1710937073MO · National Provider Identifier

Medicaid427399902MO

Other11646789MO · Caqh

Medicaid815032931MO

Medicare UPINP84304MO

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 Mary Blake Reeves's NPI number?

The NPI number for Mary Blake Reeves is 1710937073. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Mary Blake Reeves located?

Mary Blake Reeves practices at 4626 Lee Ave, Saint Louis, MO 63115. The listed phone number is (314) 385-7726.

What is Mary Blake Reeves'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 Mary Blake Reeves was last updated on September 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.