Active NPI
Meredith Ellen Blair, MS SLP CFY
- Speech-Language Pathologist
- Lombard, IL
National Provider Identifier
1013344118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242002624
- Practice address
- 310 S Main St
D
Lombard, IL 60148-2691 - Phone
- (630) 652-0200
- Fax
- (630) 652-0300
- NPI assigned
- Oct 3, 2013
- 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 | 242002624 | IL | Primary |
Addresses
Primary practice location
310 S Main St
D
Lombard, IL 60148-2691
Mailing address
310 S Main St
D
Lombard, IL 60148-2691
Phone (630) 652-0200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242002624 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Speech and Language Disorders | Speech-Language Pathologist | 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.
-
- Speech-Language Pathologist
- Elmhurst, IL
- NPI 1477602548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1013344118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 S MAIN ST",
"address_2": "D",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601482691",
"telephone_number": "630-652-0200",
"fax_number": "630-652-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 S MAIN ST",
"address_2": "D",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601482691",
"telephone_number": "630-652-0200",
"fax_number": "630-652-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "MEREDITH",
"middle_name": "ELLEN",
"credential": "MS SLP CFY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-03",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242002624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.