Blake Reddick
Blake Reddick is a Nurse Practitioner in Lutherville Timonium, Maryland. Qualified in 2020, 6 years ago. Practices with Johns Hopkins University, a 2,855-clinician group and offers telehealth. Licensed in Illinois, Indiana and Maryland.
- Years since qualifying
- 6
- Licensed in
- IL, IN, MD
- In the registry since
- 2019
- Specialties on file
- 4
Practice location Address checks out
10755 Falls RdLutherville Timonium, MD 21093-4515
Phone: (410) 616-7350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence R243734 (MD) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence R243734 (MD) |
| General Practice Registered Nurse | Taxonomy 163WG0000X · Licence 041446406 (IL) |
| General Practice Registered Nurse | Taxonomy 163WG0000X · Licence 28235378A (IN) |
Record details
| NPI number | 1356999387 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 3, 2019 |
| Last updated in NPPES | July 16, 2020 |
| Certification date | July 16, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Johns Hopkins University — 2855 clinicians |
| Accepts Medicare assignment | Not indicated |
| Telehealth | Offers telehealth services |
| Practice locations | 4 on file with Medicare |
Other providers in Lutherville Timonium
-
Royce F Hendler, RN
10807 Falls Rd Ste 101, Lutherville Timonium, MD 21093-4591 · (410) 902-9800
-
Victoria R Hudak, CRNP
2345 York Rd, Lutherville Timonium, MD 21093-2265 · (410) 329-4080
-
Thelma E Paine, APRN
22 W Padonia Rd, Lutherville Timonium, MD 21093-2226 · (419) 280-0962
-
Premila Roberts, REGISTEREDNURSE
661 Budleigh Cir, Lutherville Timonium, MD 21093-1874 · (443) 824-4422