Tara Nicole Blake
Licensed Practical Nurse · Peterstown, WV
Practice location
3633 Seneca Trl SPeterstown, WV 24963-5063
- Phone
- (304) 994-1490
NPI record
- NPI
- 1487519898
- Entity type
- Individual (Type 1)
- Enumeration date
- December 17, 2025
- Last updated
- December 17, 2025
- Certified
- December 17, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X |
37492 | WV |
About Tara Blake
Tara Nicole Blake is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 3633 Seneca Trl S, Peterstown, WV 24963-5063. The NPI number 1487519898 was assigned on December 17, 2025 and the record was last updated on December 17, 2025.
Tara Blake lists a license in the registry: #37492 (WV) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Tara Nicole Blake?
The NPI number is 1487519898.
What is the phone number of Tara Blake?
The phone number listed for the practice location is (304) 994-1490.
Where is Tara Blake located?
3633 Seneca Trl S, Peterstown, WV 24963-5063.
What is the taxonomy code for Tara Blake?
The primary taxonomy code is 164W00000X – Licensed Practical Nurse.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Licensed Practical Nurse providers in Peterstown
- Jessica Fisher, LPN5414 Ballard Red Sulphur Pkwy
- Kimberly Dawn Rhodes, LPN5414 Ballard Red Sulphur Pkwy
- Amanda Michelle Crumpler2869 Seneca Trl S