Katlyn Blake

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

124388 Issued in TX

Practice address

601 Howe Rd
Roanoke, TX 76262-2119

Phone

(682) 257-8932

NPI assigned

Jun 22, 2026

Last updated

Jun 22, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1174459556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15840 SHANER DRIVE",
            "address_2": "APT 5315",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76177",
            "telephone_number": "817-936-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HOWE RD",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762622119",
            "telephone_number": "682-257-8932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4545 Merlot Ave",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760517399",
            "country_code": "US",
            "telephone_number": "817-842-2833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "KATLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "124388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Belew
• Marilyn Josephine Benedict
• Annie Bista, APRN
• Chloe Faith Bjornberg, M.ED.
• Jennifer King Blackledge, PH.D.
• Marcelle M Bordelon, LPC
• Christopher C Breuder, MD
• Maria Isabel Brickner, ARNP, PMHNP-BC
• Bridlewood Chiropractic
• Melanie Brown, OTR

• Speech-Language Pathologist in Roanoke, TX
• Providers in Roanoke, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.