Active NPI
Lillian Blank
- Speech-Language Pathologist
- Baltimore, MD
National Provider Identifier
1356804330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 00916
- Practice address
- 9 Hurdleford CT
Baltimore, MD 21209-1070 - Phone
- (410) 484-1077
- NPI assigned
- Apr 8, 2019
- 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 | 00916 | MD | Primary |
Addresses
Primary practice location
9 Hurdleford CT
Baltimore, MD 21209-1070
Mailing address
6901 N Charles St
Towson, MD 21204-3780
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1356804330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6901 N CHARLES ST",
"city": "TOWSON",
"state": "MD",
"postal_code": "212043780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 HURDLEFORD CT",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212091070",
"telephone_number": "410-484-1077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANK",
"first_name": "LILLIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-08",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "00916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.