Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Dalferes

Individual provider Athletic Trainer · NPI 1023907888

Blake Dalferes is a Certified Registered Nurse Anesthetist (CRNA) in Jefferson, Louisiana. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Licensed in
LA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

620 Honore Dr
Jefferson, LA 70121-1607
Phone: (985) 285-0675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 — (985) 230-2198

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 217193 (LA)

Record details

NPI number1023907888
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedJune 28, 2025
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026
Mailing address620 Honore Dr, Jefferson, LA 70121-1607

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jefferson