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

Blake Liles

Individual provider Family Nurse Practitioner · NPI 1750758355

Blake Liles is a Nurse Practitioner in Austin, Texas. Qualified in 2015, 11 years ago. Practices with Harbor Health Medical Group, a 46-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2015
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Practice location Address checks out

500 N Capital Of Texas Hwy Bldg 6-125
Austin, TX 78746-3329
Phone: (855) 481-8375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP128628 (TX)

Record details

NPI number1750758355
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 31, 2015
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Harbor Health Medical Group — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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