Active NPI
Lindsay Deanna Blaire, M.S., CCC-SLP
- Speech-Language Pathologist
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 738 S Longmore
Mesa, AZ 85202-1908 - Phone
- (480) 472-4370
- NPI assigned
- Jul 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
738 S Longmore
Mesa, AZ 85202-1908
Mailing address
701 W Lindner Ave
Mesa, AZ 85210-6837
Phone (480) 200-3293
Other practice location 1
651 Strander Blvd Ste 105
Tukwila, WA 98188-2914
Phone (206) 458-5360
Other practice location 2
19031 33rd Ave W Ste 101
Lynnwood, WA 98036-4731
Phone (206) 313-8840
Other practice location 3
6840 Oswego Pl NE Apt 106
Seattle, WA 98115-8430
Phone (480) 200-3293
Other practice location 4
463 S Alma School Rd
Mesa, AZ 85210-1014
Phone (480) 472-9176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111524501 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Able Pediatric Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1003434168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W LINDNER AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852106837",
"telephone_number": "480-200-3293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "738 S LONGMORE",
"city": "MESA",
"state": "AZ",
"postal_code": "852021908",
"telephone_number": "480-472-4370"
}
],
"practiceLocations": [
{
"address_1": "651 Strander Blvd Ste 105",
"address_purpose": "LOCATION",
"city": "Tukwila",
"state": "WA",
"postal_code": "981882914",
"country_code": "US",
"telephone_number": "206-458-5360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19031 33rd Ave W Ste 101",
"address_purpose": "LOCATION",
"city": "Lynnwood",
"state": "WA",
"postal_code": "980364731",
"country_code": "US",
"telephone_number": "206-313-8840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6840 Oswego Pl NE Apt 106",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981158430",
"country_code": "US",
"telephone_number": "480-200-3293",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "463 S Alma School Rd",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852101014",
"country_code": "US",
"telephone_number": "480-472-9176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLAIRE",
"first_name": "LINDSAY",
"middle_name": "DEANNA",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-06",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111524501",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.