Jennifer Lynne Bleckiner, CCC/SLP-L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101003668 Issued in MI

Practice address

129 W Baraga Ave Ste B
Marquette, MI 49855-4759

Phone

(920) 374-3062

NPI assigned

Apr 30, 2021

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

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1285217885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 FISHER ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554523",
            "telephone_number": "920-374-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W BARAGA AVE STE B",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554759",
            "telephone_number": "920-374-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLECKINER",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "CCC/SLP-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101003668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Bjork, M.D.
• Nicole L Blaauw, PA-C
• Janet Lynn Blake
• Carol Blashill, RN
• Kyle Edward Blau, DDS
• Kendra Sundin Bloom, BCBA, LBA
• Robert Howells Blotter, MD
• Stephanie Blubaugh, LCSW
• Cassie Bluhm, DO
• Holly Ann Boburka, MS A.T.,C.

• Speech-Language Pathologist in Marquette, MI
• Providers in Marquette, MI by specialty
• Speech-Language Pathologist in Michigan

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

Verify at the official NPI Registry.