Christy Blake, NP
Nurse Practitioner, Pediatrics in Amarillo, TX. Individual provider (NPI-1).
NPI number1821020033
StatusActive
Last updated in NPPESJun 5, 2009
Details
- NPI
- 1821020033
- Entity type
- Individual (NPI-1)
- Name
- Christy Blake
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2006
- Last updated
- Jun 5, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 234120 | TX | Yes |
Practice location
1400 CoulterAmarillo, TX 79106-1786
Phone 806-354-5630 · Fax 806-354-5689
Mailing address
1400 Wallace BlvdAttn: Credentialing
Amarillo, TX 79106-1708
Phone 806-354-5585 · Fax 806-356-4673
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 11 Pediatric Nurse Practitioner providers in Amarillo · All 5,175 providers in Amarillo
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