Leila Icillda Blake , LPN
Licensed Practical Nurse • Queens, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Leila Blake has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Leila Blake, LPN was a registered Licensed Practical Nurse practicing in Queens, NY. Throughout an active medical career spanning 18 years, Leila Blake provided care at the practice location at 121 15 194 STREET until profile deactivation on 2025-09-18.
Practice Location & Contact Primary Location
121 15 194 Street
Springfield Gardens
Queens, NY 11413
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Queens, NY
Practicing in Queens, NY (23738 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 18, 2025
NPI status registered as active in NPPES database
Registered at 121 15 194 STREET, SPRINGFIELD GARDENS, QUEENS, NY 11413 (Tel: 7189493421)
Registered at 121 15 194 STREET, SPRINGFIELD GARDENS, QUEENS, NY 11413 (Tel: 7189493421)
Recorded as LEILA BLAKE, LPN
Licensed Practical Nurse (License #1651541 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
121 15 194 Street, Springfield Gardens
Queens, NY 11413
Phone: 7189493421
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