Active NPI
Karen Blomberg, SLP
- Speech-Language Pathologist
- Frederick, MD
National Provider Identifier
1245010693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01016
- Practice address
- 1 Frederick Health Way
Frederick, MD 21701-9435 - Phone
- (240) 566-3568
- NPI assigned
- Oct 3, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 01016 | MD | Primary |
Addresses
Primary practice location
1 Frederick Health Way
Frederick, MD 21701-9435
Mailing address
8910 Purdue Rd Ste 700
Indianapolis, IN 46268-6136
Phone (317) 430-3018
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01016 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1245010693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8910 PURDUE RD STE 700",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686136",
"telephone_number": "317-430-3018",
"fax_number": "317-884-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FREDERICK HEALTH WAY",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217019435",
"telephone_number": "240-566-3568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOMBERG",
"first_name": "KAREN",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-03",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "01016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.