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

Shironda R Blake, NP

Individual provider Family Nurse Practitioner · NPI 1306510805

Shironda R Blake, NP is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2021, 5 years ago. Practices with Capitol City Family Health Center Incorporated, a 42-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
5
Licensed in
LA
In the registry since
2021
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

3217 Mabel St
Shreveport, LA 71103-4022
Phone: (318) 631-9121
Fax: (318) 631-9126
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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 221102 (LA)

Record details

NPI number1306510805
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 6, 2021
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Capitol City Family Health Center Incorporated — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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