Dixie Lee Blackwell, M.A. SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9702 Issued in CA

Practice address

3900 Birch St Ste 103
Newport Beach, CA 92660-2226

Phone

(949) 955-0010

NPI assigned

Sep 10, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Stepping Stones Therapy, Inc

  • Speech-Language Pathologist
  • Newport Beach, CA
  • NPI 1760816318
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1043688807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23222 LA VACA ST",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304523",
            "telephone_number": "949-244-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 BIRCH ST STE 103",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602226",
            "telephone_number": "949-955-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "DIXIE",
        "middle_name": "LEE",
        "credential": "M.A. SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "9702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Birch Radiology Associates, Inc.
• Frederick A. Birnberg, M.D.
• Bita Adib Bagheri MD
• Anna-Karin Bjorklund, LMFT
• Rees Blackburn, RBT
• Mitchell Finnell Blair, RN-BSN
• Marc Allan Blake
• Parissa Blake
• Giovanni Blanco, BA
• Cindy W Blancq, O.D.

• Speech-Language Pathologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.