Active NPI
Katelyn Blanchard
- Speech-Language Pathologist
- Marrero, LA
National Provider Identifier
1093448201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9076
- Practice address
- 4600 River Rd
Marrero, LA 70072-1943 - Phone
- (504) 349-8677
- NPI assigned
- Jul 5, 2022
- 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 | 9076 | LA | Primary |
Addresses
Primary practice location
4600 River Rd
Marrero, LA 70072-1943
Mailing address
4600 River Rd
Marrero, LA 70072-1943
Phone (504) 349-8677
Other practice location 1
501 Manhattan Blvd
Harvey, LA 70058-4443
Phone (504) 349-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1701033 | Medicaid | LA |
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 |
|---|---|---|---|
| 9076 | LA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Parish Schools | Current | Accepting new patients | |
| Jefferson Parish Public School System | Past | Accepting new patients | |
| Jefferson Parish Public School System | Past | Accepting new patients |
Locations
501 Manhattan Blvd
Harvey, LA 70058
Phone (504) 349-7600
Organizations & group practices 3
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.
-
- Counselor
- Harvey, LA
- NPI 1518648377
-
- Local Education Agency (LEA)
- Marrero, LA
- NPI 1295953784
-
- Local Education Agency (LEA)
- Marrero, LA
- NPI 1912028655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1093448201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 RIVER RD",
"city": "MARRERO",
"state": "LA",
"postal_code": "700721943",
"telephone_number": "504-349-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 RIVER RD",
"city": "MARRERO",
"state": "LA",
"postal_code": "700721943",
"telephone_number": "504-349-8677"
}
],
"practiceLocations": [
{
"address_1": "501 Manhattan Blvd",
"address_purpose": "LOCATION",
"city": "Harvey",
"state": "LA",
"postal_code": "700584443",
"country_code": "US",
"telephone_number": "504-349-7600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANCHARD",
"first_name": "KATELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-05",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "9076",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1701033",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.