Active NPI
Careena Annia Blanc
- Speech-Language Pathologist
- Oviedo, FL
National Provider Identifier
1043976616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ10473
- Practice address
- 901 Clark St
Oviedo, FL 32765-7378 - Phone
- (407) 359-5693
- NPI assigned
- Nov 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ10473 | FL | Primary |
| Pathology Specialist/Technologist | 246Q00000X | SZ10473 | FL |
Addresses
Primary practice location
901 Clark St
Oviedo, FL 32765-7378
Mailing address
17132 Arbor Woods CT
Orlando, FL 32820-2252
Phone (407) 968-2919
Other practice location 1
1201 Winter Garden Vineland Rd Ste 10
Winter Garden, FL 34787-4380
Phone (407) 654-5455
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ10473 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1043976616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17132 ARBOR WOODS CT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328202252",
"telephone_number": "407-968-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 CLARK ST",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327657378",
"telephone_number": "407-359-5693"
}
],
"practiceLocations": [
{
"address_1": "1201 Winter Garden Vineland Rd Ste 10",
"address_purpose": "LOCATION",
"city": "Winter Garden",
"state": "FL",
"postal_code": "347874380",
"country_code": "US",
"telephone_number": "407-654-5455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANC",
"first_name": "CAREENA",
"middle_name": "ANNIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-09",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ10473",
"primary": true
},
{
"code": "246Q00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology",
"state": "FL",
"license": "SZ10473",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.