Active NPI 1205617164 Individual Practitioner Female Practitioner

Heather M Blake , NNP

Nurse Practitioner - Neonatal • Dearborn, MI

Professional Overview & Biography Verified Profile Summary

Heather Blake, NNP is a registered healthcare professional specializing in Nurse Practitioner - Neonatal in Dearborn, MI. Practice services are available at 18101 OAKWOOD BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18101 Oakwood Blvd

Dearborn, MI 481244089

Telephone 3135937435

Associated Practice Facility / Clinic

🏢 Professional Emergency Care, P.c. Facility NPI 1578568036

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Neonatal in Dearborn, MI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 9.9 Yrs

Regional Practice Density

12 Specialists

Practicing in Dearborn, MI (137 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: 2023-10-06

Nurse Practitioner - Neonatal Primary Specialty

NUCC Taxonomy Code: 363LN0000X

State License MI 4704300929

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners

Megan Sanborn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003187493

Certified Registered Nurse Anesthetist

Dr. Matthew Hunt , DO

Surgery

NPI 1003705708

Doctor of Osteopathic Medicine (D.O.)

Michael Kroll , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013024058

Certified Registered Nurse Anesthetist

Dr. Neha Desai , PharmD

Pharmacist - Pharmacotherapy

NPI 1013139120

Doctor of Pharmacy (Pharm.D.)

Dr. Rohan Deraniyagala , MD

Radiology - Radiation Oncology

NPI 1013236660

Doctor of Medicine (M.D.)

Kia Sweeney

Psychiatry & Neurology - Psychiatry

NPI 1013606227

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 06, 2023

NPI status registered as active in NPPES database

📍

Updated Practice Location October 06, 2023

Registered at 18101 OAKWOOD BLVD, DEARBORN, MI 481244089 (Tel: 3135937435)

📍

Updated Business Mailing Address October 06, 2023

Registered at 15228 WARWICK AVE, ALLEN PARK, MI 481012969 (Tel: 3135157949)

👤

Provider Name / Credentials Updated October 06, 2023

Recorded as HEATHER BLAKE, NNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2023

Nurse Practitioner (License #4704300929 in MI)

🟢

Initial NPI Registration & Enumeration October 06, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1205617164

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 06, 2023

Last Update: October 06, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

15228 Warwick Ave

Allen Park, MI 481012969

Phone: 3135157949

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.