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Active NPI 1881499226 Individual Practitioner Female Practitioner

Tyanna Leigh Blake , RT(R)

Radiologic Technologist • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Tyanna Blake, RT(R) is a registered healthcare professional specializing in Radiologic Technologist in Phoenix, AZ. Practice services are available at 650 E INDIAN SCHOOL RD # RF under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

650 E Indian School Rd # Rf

Phoenix, AZ 850121839

Telephone 6022775551
Associated Practice Facility / Clinic
🏢 Phoenix Vamc Facility NPI 1184682676

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiologic Technologist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Phoenix, AZ (54 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-18
Radiologic Technologist Primary Specialty

NUCC Taxonomy Code: 247100000X

State License AZ CRT0000104107

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Korena Fine , RN

Registered Nurse

NPI 1003003807

Registered Nurse

NPI 1003062837

Doctor of Pharmacy (Pharm.D.)

NPI 1003225673

Certified Nursing Assistant

NPI 1003588815

Doctor of Pharmacy (Pharm.D.)

NPI 1003647314
Dr. Venu Gopal , MD

Internal Medicine - Geriatric Medicine

NPI 1003853912

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 18, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location February 18, 2025

Registered at 650 E INDIAN SCHOOL RD # RF, PHOENIX, AZ 850121839 (Tel: 6022775551)

📍
Updated Business Mailing Address February 18, 2025

Registered at 10010 N 50TH AVE, GLENDALE, AZ 853022419 (Tel: 6238265388)

👤
Provider Name / Credentials Updated February 18, 2025

Recorded as TYANNA BLAKE, R.T.(R)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2025

Radiologic Technologist (License #CRT0000104107 in AZ)

🟢
Initial NPI Registration & Enumeration February 18, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881499226
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2025
Last Update: February 18, 2025
Sole Proprietor: No

Mailing Address

10010 N 50th Ave

Glendale, AZ 853022419

Phone: 6238265388

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.