Active NPI
Nancy L Greenblatt, M.ED CCC SLP
- Speech-Language Pathologist
- Falmouth, ME
National Provider Identifier
1366654436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- ME255712
- Practice address
- 24 West Cir
Falmouth, ME 04105-1111 - Phone
- (207) 838-3317
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | ME255712 | ME | Primary |
Addresses
Primary practice location
24 West Cir
Falmouth, ME 04105-1111
Mailing address
24 West Cir
Falmouth, ME 04105-1111
Phone (207) 838-3317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0262777 | Other | ME | ANTHEM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME255712 | ME | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1366654436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 WEST CIR",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "041051111",
"telephone_number": "207-838-3317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 WEST CIR",
"city": "FALMOUTH",
"state": "ME",
"postal_code": "041051111",
"telephone_number": "207-838-3317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBLATT",
"first_name": "NANCY",
"middle_name": "L",
"credential": "M.ED CCC SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "ME255712",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0262777",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Falmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.