Gina Lynn Blean, M.S. CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01448 Issued in IA

Practice address

4135 Pennsylvaina Ave
Dubuque, IA 52002

Phone

(563) 583-4003

Fax

(563) 583-4734

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Unified Therapy Services, Inc

  • Occupational Therapist
  • Fennimore, WI
  • NPI 1639727035
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104911593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 PENNSYLVAINA AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "52002",
            "telephone_number": "563-583-4003",
            "fax_number": "563-583-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 PENNSYLVAINA AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "52002",
            "telephone_number": "563-583-4003",
            "fax_number": "563-583-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEAN",
        "first_name": "GINA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "01448",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sindi Bisenius, MMP, LMT
• Andrea Bishop
• Christine Black
• Katie Blair, LAC
• Andrew C Bland, MD
• McKenzie Bockenstedt, MA, CCC-SLP
• Molly Elizabeth Boge, PA
• Kebba Bojang, PHARM. D
• Brooke Bojar
• Daniel L. Bolgren, D.D.S

• Speech-Language Pathologist in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.