Blaine Parker, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4568 Issued in TN

Practice address

7716 Elpine Gray Dr
Arlington, TN 38002-8529

Phone

(901) 729-6141

NPI assigned

Mar 23, 2011

Sex

Female

Sole proprietor

Yes

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)

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.

• Parker Pediatric Speech Services, LLS

  • Speech-Language Pathologist
  • Arlington, TN
  • NPI 1124445630
  NPD (past) Authorized official

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1235438797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7716 ELPINE GRAY DR",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380028529",
            "telephone_number": "901-729-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7716 ELPINE GRAY DR",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380028529",
            "telephone_number": "901-729-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "BLAINE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "1405",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "4568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Open Arms Care Corporation
• Orthoone Sports Medicine & Orthopaedics, PLLC
• Orthoone Sports Medicine & Orthopaedics,PLLC
• Outpatient Rehab and Therapy Center of TN Inc.
• Parker Pediatric Speech Services, LLS
• Dipali Patel, PHARM.D
• Pediatric Therapy Service
• Amy Farris Perkins, O.D.
• Kate Elizabeth Perkins, FNP-BC (APRN)
• Lisa Phillips, DDS

• Speech-Language Pathologist in Arlington, TN
• Providers in Arlington, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.