Active NPI
Amber Evelyn Blattner, M.A., CCC-SLP
- Speech-Language Pathologist
- Saint Joseph, MO
National Provider Identifier
1114209509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2011013597
- Practice address
- 3007 S Belt Hwy
Saint Joseph, MO 64503-1546 - Phone
- (816) 387-9800
- NPI assigned
- Sep 13, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2011013597 | MO | Primary |
| Speech-Language Pathologist | 235Z00000X | 2888 | KS |
Addresses
Primary practice location
3007 S Belt Hwy
Saint Joseph, MO 64503-1546
Mailing address
15140 238TH Rd
Cummings, KS 66016-9034
Phone (913) 367-5549
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2888 | KS | MD | Psychologist |
| 2011013597 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1114209509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15140 238TH RD",
"city": "CUMMINGS",
"state": "KS",
"postal_code": "660169034",
"telephone_number": "913-367-5549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3007 S BELT HWY",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645031546",
"telephone_number": "816-387-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLATTNER",
"first_name": "AMBER",
"middle_name": "EVELYN",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-13",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2011013597",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "2888",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.