Active NPI
Julie Blanchard
- Speech-Language Pathologist
- Paducah, KY
National Provider Identifier
1013112309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 141633
- Practice address
- 142 Stuart Nelson Park Road
Paducah, KY 42001-9678 - Phone
- (270) 442-9502
- Fax
- (270) 442-1954
- NPI assigned
- Jun 18, 2007
- 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 | 141633 | KY | Primary |
Addresses
Primary practice location
142 Stuart Nelson Park Road
Paducah, KY 42001-9678
Mailing address
142 Stuart Nelson Park Road
Paducah, KY 42001-9678
Phone (270) 442-9502
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141633 | KY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1013112309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 STUART NELSON PARK ROAD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420019678",
"telephone_number": "270-442-9502",
"fax_number": "270-442-1954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 STUART NELSON PARK ROAD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420019678",
"telephone_number": "270-442-9502",
"fax_number": "270-442-1954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHARD",
"first_name": "JULIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "141633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.