Jessica Blake, RDN is a
Dietitian, Registered based in Duvall, Washington. Jessica Blake is licensed to practice in Washington (license number DI60906609) and her current practice location is
26905 Ne Virginia St, Duvall, Washington. She can be reached at her office (for appointments etc.) via phone at
(425) 954-3449.
NPI number for Jessica Blake is 1770057085 and her current mailing address is 26905 Ne Virginia St, Duvall, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770057085.
Healthcare Provider's Profile
Full Name | Jessica Blake |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 26905 Ne Virginia St, Duvall, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770057085
- Provider Enumeration Date: 01/20/2019
- Last Update Date: 11/10/2020
Medical Identifiers
Medical identifiers for Jessica Blake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770057085 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DI60906609 (Washington) | 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. Jessica 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 Address | Practice Location Address |
Jessica Blake, RDN 26905 Ne Virginia St, Duvall, WA 98019-8473 Ph: (425) 954-3449 | Jessica Blake, RDN 26905 Ne Virginia St, Duvall, WA 98019-8473 Ph: (425) 954-3449 |
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