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

MS. Johannah Blake, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1609426261

MS. Johannah Blake, PMHNP-BC is a Nurse Practitioner in Tucson, Arizona. Qualified in 2019, 7 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2019
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

2919 E Broadway Blvd # 205
Tucson, AZ 85716-5301
Phone: (520) 654-5502
Fax: (520) 842-8765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 229492 (AZ)

Record details

NPI number1609426261
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedSeptember 16, 2019
Last updated in NPPESApril 27, 2025
Certification dateApril 27, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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