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

Kevin K Blake, NP

Individual provider Registered Nurse · NPI 1174957864

Kevin K Blake, NP is a Nurse Practitioner in Kingsport, Tennessee. Graduated from East Tennessee State University Quillen College of Medicine in 1992, 34 years ago. Practices with Wps Providers Inc, a 83-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
34
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
TN
In the registry since
2013
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2202 N John B Dennis Hwy Ste 100
Kingsport, TN 37660-5904
Phone: (423) 578-8500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 378 Marketplace Blvd Ste 5, Johnson City, TN 37604-2361 — (423) 282-0751
  • 1 Professional Park Dr, Johnson City, TN 37604-6587 — (423) 232-6900

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 17873 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 148275 (TN)

Record details

NPI number1174957864
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedAugust 29, 2013
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023
Mailing address1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Wps Providers Inc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kingsport