Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417534108 Individual Practitioner Female Practitioner

Marisa Beth Blake , LPN

Licensed Practical Nurse • Plattsburgh, NY

Professional Overview & Biography Verified Profile Summary

Marisa Blake, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Plattsburgh, NY. Practice services are available at 75 OAK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

75 Oak St

Plattsburgh, NY 129011805

Telephone 5185628119
Fax 5185628126

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Plattsburgh, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
38 Specialists

Practicing in Plattsburgh, NY (23738 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: 2021-03-27
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 311803

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Beryl Gregory

Counselor - Addiction (Substance Use Disorder)

NPI 1245930650

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 27, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2021

Registered at 75 OAK ST, PLATTSBURGH, NY 129011805 (Tel: 5185628119)

📍
Updated Business Mailing Address March 27, 2021

Registered at 75 OAK ST, PLATTSBURGH, NY 129011805 (Tel: 5185628119)

👤
Provider Name / Credentials Updated March 27, 2021

Recorded as MARISA BLAKE, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2021

Licensed Practical Nurse (License #311803 in NY)

🟢
Initial NPI Registration & Enumeration March 27, 2021

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: 1417534108
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2021
Last Update: March 27, 2021
Sole Proprietor: No

Mailing Address

75 Oak St

Plattsburgh, NY 129011805

Phone: 5185628119

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.