Individual provider Active NPI

Bliss Hemric, MA CCC SLP

  • Speech-Language Pathologist
  • Boone, NC
National Provider Identifier
1306850979
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1956 Issued in NC
Practice address
400 University Hall Drive
Room 120
Boone, NC 28608-2041
Phone
(828) 262-2185
Fax
(828) 262-6766
NPI assigned
Jul 28, 2006
Last updated
Apr 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1956 NC Primary

Addresses

Primary practice location

400 University Hall Drive
Room 120
Boone, NC 28608-2041

Mailing address

400 University Hall Drive
Room 120
Boone, NC 28608-2041
Phone (828) 262-2185

Other identifiers 2

IdentifierTypeStateIssuer
85771OtherNCBLUE CROSS BLUE SHIELD OF
7485771MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250326003890 NC Practitioner - Qualified Speech Language Pathologist 8820510795 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1956NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian State University CurrentSince Mar 19, 2025 Accepting new patients
Appalachian State University Speech-Language Pathologist CurrentSince Mar 19, 2025 Accepting new patients

Locations

1179 State Farm Rd
Ste 132
Boone, NC 28607
Phone (828) 262-8658

400 University Hall Dr
Boone, NC 28608
Phone (828) 262-2185

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1306850979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 UNIVERSITY HALL DRIVE",
            "address_2": "ROOM 120",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286082041",
            "telephone_number": "828-262-2185",
            "fax_number": "828-262-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 UNIVERSITY HALL DRIVE",
            "address_2": "ROOM 120",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286082041",
            "telephone_number": "828-262-2185",
            "fax_number": "828-262-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMRIC",
        "first_name": "BLISS",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "1956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "85771",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7485771",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.