Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487519898 Individual Practitioner Female Practitioner

Tara Nicole Blake

Licensed Practical Nurse • Peterstown, WV

Professional Overview & Biography Verified Profile Summary

Tara Blake is a registered healthcare professional specializing in Licensed Practical Nurse in Peterstown, WV. Practice services are available at 3633 SENECA TRL S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3633 Seneca Trl S

Peterstown, WV 249635063

Telephone 3049941490

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Peterstown, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Peterstown, WV (890 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: 2025-12-17
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WV 37492

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

6 Historical Events
NPI Profile Active December 17, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2025

Registered at 3633 SENECA TRL S, PETERSTOWN, WV 249635063 (Tel: 3049941490)

📍
Updated Business Mailing Address December 17, 2025

Registered at 3633 SENECA TRL S, PETERSTOWN, WV 249635063 (Tel: 3049941490)

👤
Provider Name / Credentials Updated December 17, 2025

Recorded as TARA BLAKE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2025

Licensed Practical Nurse (License #37492 in WV)

🟢
Initial NPI Registration & Enumeration December 17, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Tara Blake. Be the first to share your experience!

Sign in to leave a review for Tara Blake

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1487519898
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2025
Last Update: December 17, 2025
Sole Proprietor: No

Mailing Address

3633 Seneca Trl S

Peterstown, WV 249635063

Phone: 3049941490

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.