Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114359726 Individual Practitioner Female Practitioner

Mandy Blake , PNP

Nurse Practitioner - Pediatrics • Salisbury, NC

Professional Overview & Biography Verified Profile Summary

Mandy Blake, PNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Salisbury, NC. Practice services are available at 129 WOODSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

129 Woodson St

Salisbury, NC 281443255

Telephone 7046365576
Fax 7042162011
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Salisbury, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Salisbury, NC (663 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

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License NC 5006329

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License NC 5006329

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

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

26 Associated Practitioners
Dr. Wayne Koontz , MD

Pediatrics - Adolescent Medicine

NPI 1013008036

Doctor of Medicine (M.D.)

Aubrie Cornelius , NP

Nurse Practitioner - Pediatrics

NPI 1053419812

Nurse Practitioner

Martha Puga , IBCLC

Registered Nurse - Lactation Consultant

NPI 1134674336

International Board Certified Lactation Consultant

Victoria Boyles , FNP-C

Nurse Practitioner - Family

NPI 1164129946

Family Nurse Practitioner (Certified)

Lindsay Lyke , PA-C

Physician Assistant

NPI 1194503045

Physician Assistant (Certified)

Dr. Mark Lins , MD

Pediatrics - Adolescent Medicine

NPI 1194816132

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 August 06, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2013

Registered at 129 WOODSON ST, SALISBURY, NC 281443255 (Tel: 7046365576)

📍
Updated Business Mailing Address August 06, 2013

Registered at 129 WOODSON ST, SALISBURY, NC 281443255 (Tel: 7046365576)

👤
Provider Name / Credentials Updated August 06, 2013

Recorded as MANDY BLAKE, PNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2013

Nurse Practitioner (License #5006329 in NC)

🟢
Initial NPI Registration & Enumeration August 06, 2013

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: 1114359726
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2013
Last Update: August 06, 2013
Sole Proprietor: No

Mailing Address

129 Woodson St

Salisbury, NC 281443255

Phone: 7046365576

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.