Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

ANDREW T BLAKE RN
NPI 1780505891
Registered Nurse in Roseville, MN

Active since July 23, 2026
2350 CLEVELAND AVE N, ROSEVILLE, MN 55113(507) 850-1100(651) 493-4247 Get Directions Write a Review

NPPES record added: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Andrew T Blake Rn NPPES

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

ANDREW T BLAKE RN (NPI 1780505891) is an individual registered nurse in Roseville, Minnesota, licensed in Minnesota (2499974) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1780505891
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameANDREW T BLAKECredential: RN
Location Address2350 CLEVELAND AVE NRoseville, MN 55113-2701
Mailing Address8444 N 90th St Ste 100Scottsdale, AZ 85258-4437 · (602) 248-8886 · Fax (480) 687-7361
Fax(651) 493-4247
Sole ProprietorYes
Enumeration DateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
NPI 1780505891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in MN · 2499974
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner
2350 CLEVELAND AVE N
ROSEVILLE, MN 55113
Clinic/Center (Methadone)
2350 CLEVELAND AVE N
ROSEVILLE, MN 55113
Counselor (Addiction (Substance Use Disorder))
2350 CLEVELAND AVE N
ROSEVILLE, MN 55113
Counselor (Addiction (Substance Use Disorder))
2350 CLEVELAND AVE N
ROSEVILLE, MN 55113
Counselor (Addiction (Substance Use Disorder))
2350 CLEVELAND AVE N
ROSEVILLE, MN 55113
Counselor (Addiction (Substance Use Disorder))
2350 CLEVELAND AVE N
ROSEVILLE, MN 55113

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 Andrew Blake's NPI number?

The NPI number for Andrew Blake is 1780505891. It was assigned to this individual provider in the NPPES registry on July 23, 2026.

Where is Andrew Blake located?

Andrew Blake practices at 2350 Cleveland Ave N, Roseville, MN 55113. The listed phone number is (507) 850-1100.

What is Andrew Blake's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Andrew Blake was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.