Bluegrass Speech Pathology Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP439 Issued in AK

Legal business name

BLUEGRASS SPEECH PATHOLOGY SERVICES

Practice address

9651 Buddy Werner Dr
Anchorage, AK 99507-5915

Phone

(907) 947-3801

NPI assigned

Nov 29, 2016

Last updated

Nov 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ann C Waldron, MA, CCC-SLP

Title

Business Owner

Phone

(907) 947-3801

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1285177907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9651 BUDDY WERNER DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995075915",
            "telephone_number": "907-947-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9651 BUDDY WERNER DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995075915",
            "telephone_number": "907-947-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS SPEECH PATHOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "907-947-3801",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "SLP439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcella Blount
• Victoria Ann Blower, OD
• Blue Horizon Alh
• Blue Trans LLC
• Jerry Lewis Blueford Jr., L.M.T.
• Jonathon Edward Blum, NP
• Holly Blumell, M.S., CCC-SLP
• Angela Blunt
• Karen Blystone, RN
• Kristin M Boardman, MD

• Speech-Language Pathologist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.