Nanette Ann Blandford, SPEECH THERAPIST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2978 Issued in KY

Practice address

815 Triplett St
Wendell Fosters Campus for Developmental Disabilities
Owensboro, KY 42303

Phone

(270) 683-4517

Fax

(270) 852-1491

NPI assigned

Jun 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154528347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1668",
            "address_2": "815 TRIPLETT ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423021668",
            "telephone_number": "270-683-4517",
            "fax_number": "270-852-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 TRIPLETT ST",
            "address_2": "WENDELL FOSTERS CAMPUS FOR DEVELOPMENTAL DISABILITIES",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-683-4517",
            "fax_number": "270-852-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANDFORD",
        "first_name": "NANETTE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "SPEECH THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "2978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45118379",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID SCL",
            "identifier": "33000035",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID ICF",
            "identifier": "11903135",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sal Blake, PA-C
• H. Dwaine Blakeman, DMD
• Courtney Lynn Blandford, NP
• Jonathan Blandford, DO
• Lee Ann Blandford, SLP
• Bliss United Dental Services Dba Owensboro Family Dentistry
• Jami Ray Block, NNP-BC
• Steven M Block, DPM
• Bluegrass Eye Care, PLLC
• Bluegrass Family Allergy, PLLC

• Speech-Language Pathologist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.