Individual provider Active NPI

Blaire Stoneham, M.S., CCC-SLP

  • Speech-Language Pathologist
  • New Braunfels, TX
National Provider Identifier
1144960006
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1404 N Interstate 35
New Braunfels, TX 78130-2817
Phone
(830) 221-2000
NPI assigned
Mar 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

1404 N Interstate 35
New Braunfels, TX 78130-2817

Mailing address

115 Angus TRL
Spring Branch, TX 78070-4661
Phone (512) 734-2327

Other practice location 1

1102 Winkler Ave
Killeen, TX 76542-6249
Phone (254) 634-8505

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address blaire.stoneham@comalisd.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023003939 TX Practitioner - Qualified Speech Language Pathologist 2769915164 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Barr Physical Therapy, P.C. Speech-Language Pathologist CurrentSince Sep 10, 2024 Accepting new patients
Barr Physical Therapy, P.C. Speech-Language Pathologist Past Accepting new patients
San Luis Walk-in Clinic, Inc. PastSince Sep 10, 2024 Accepting new patients

Locations

1102 Winkler Ave
Killeen, TX 76542
Phone (254) 634-8505

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1144960006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ANGUS TRL",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780704661",
            "telephone_number": "512-734-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 N INTERSTATE 35",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302817",
            "telephone_number": "830-221-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 Winkler Ave",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765426249",
            "country_code": "US",
            "telephone_number": "254-634-8505",
            "fax_number": "254-781-4312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONEHAM",
        "first_name": "BLAIRE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blaire.stoneham@comalisd.org",
            "affiliation": "N",
            "endpointDescription": "professional email address",
            "address_1": "1404 N Interstate 35",
            "city": "New Braunfels",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781302817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.