Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467988360 Individual Practitioner Female Practitioner

Shirley R Blake , MS

Specialist • Bristol, VA

Professional Overview & Biography Verified Profile Summary

Shirley Blake, MS is a registered healthcare professional specializing in Specialist in Bristol, VA. Practice services are available at 24063 HIGHPOINT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

24063 Highpoint Rd

Bristol, VA 242024707

Telephone 2769710079
Fax 2765915353

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Bristol, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Bristol, VA (878 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License VA PGP-127280

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Interpreter

NUCC Taxonomy Code: 171R00000X

An Interpreter is a person who translates oral communication between two or more people. This includes translating from one language to another or interpreting sign language. An interpreter is necessary for medical care when the patient does not speak the language of the health care provider or when the patient has a disability involving spoken language.

Prevention Professional

NUCC Taxonomy Code: 405300000X

State License VA 10,545

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2017

Registered at 24063 HIGHPOINT RD, BRISTOL, VA 242024707 (Tel: 2769710079)

📍
Updated Business Mailing Address May 11, 2017

Registered at 24063 HIGHPOINT RD, BRISTOL, VA 242024707 (Tel: 2769710079)

👤
Provider Name / Credentials Updated May 11, 2017

Recorded as SHIRLEY BLAKE, M.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2017

Specialist (License #PGP-127280 in VA)

🟢
Initial NPI Registration & Enumeration May 11, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1467988360
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2017
Last Update: May 11, 2017
Sole Proprietor: Yes

Mailing Address

24063 Highpoint Rd

Bristol, VA 242024707

Phone: 2769710079

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.