Kara Loy Blackburn, M.S.CCC-SLP,CLT/CDT

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3740 Issued in OK

Practice address

701 W Main St
Suite 10
Duncan, OK 73533-4673

Phone

(405) 921-3347

NPI assigned

May 8, 2008

Last updated

Feb 20, 2013By the provider in NPPES

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

Other identifiers 1

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": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1255507372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 E BOIS D ARC AVE",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735339428",
            "telephone_number": "405-921-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W MAIN ST",
            "address_2": "SUITE 10",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334673",
            "telephone_number": "405-921-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "KARA",
        "middle_name": "LOY",
        "credential": "M.S.CCC-SLP,CLT/CDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9320",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002677000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Machael Bennett
• Dana Walker Berryhill, DPH
• Mikalyn Dalanie Bianchini, PTA
• Drew Daniel Biggs, D.C.
• Charles Wayne Bingham, DO
• Jordan Tyler Blalock, DDS
• Claire Blevins, MA CCC-SLP
• Bloom Physical Therapy & Wellness PLLC (Bloom Pelvic Health & Physical Therapy)
• Brian Edward Bobrovicz, DPH, PHARMD
• Donald Wayne Bonner, EDD

• Speech-Language Pathologist in Duncan, OK
• Providers in Duncan, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.