Ms Tai Blake, RN - Registered Nurse in Grand Rapids, MI

Ms Tai Blake, RN is a Registered Nurse based in Grand Rapids, Michigan. Ms Tai Blake is licensed to practice in Michigan (license number 4704255955) and her current practice location is 755 36th St Se, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at (616) 897-5900.

NPI number for Ms Tai Blake is 1285868331 and her current mailing address is 6070 In The Pines Dr Se, Kentwood, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285868331.

Contact Information

Ms Tai Blake, RN
755 36th St Se,
Grand Rapids, MI 49548-2319
(616) 897-5900
(616) 897-5954

Map and Direction




Provider's Profile

Full NameMs Tai Blake
GenderFemale
SpecialityRegistered Nurse
Location755 36th St Se, Grand Rapids, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1285868331
  • Provider Enumeration Date: 05/05/2009
  • Last Update Date: 05/05/2009

Medical Identifiers

Medical identifiers for Ms Tai Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285868331NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 4704255955 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Tai Blake is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Tai Blake, RN
6070 In The Pines Dr Se,
Kentwood, MI 49548-8503

Ph: () -
Ms Tai Blake, RN
755 36th St Se,
Grand Rapids, MI 49548-2319

Ph: (616) 897-5900

Reviews and Comments


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Mr. Jordan Kerbyson, RN
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