Jenna Blockhus, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1123 Muriel Dr
Northglenn, CO 80233-3151

Phone

(720) 972-5115

NPI assigned

Feb 20, 2007

Last updated

Sep 5, 2023By the provider in NPPES

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

Credentials

Master of Science

State licenses

Practice roles

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.

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  • NPI 1730388828
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1376688119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4758 6TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803040862",
            "telephone_number": "602-999-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 MURIEL DR",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802333151",
            "telephone_number": "720-972-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCKHUS",
        "first_name": "JENNA",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLPL4130",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hasim Blair
• Kendra Blair
• Brittney Blanchard
• James Ryan Blaskowski
• Anne Elise Bleiler, LPCC
• Zoe Blubaugh, BCBA
• Blue Channel Therapy
• Blue Feathers, PLLC (Direct Source Physical Therapy)
• Jennifer Blum, RN
• Michael D Boerner, D.C.

• Speech-Language Pathologist in Northglenn, CO
• Providers in Northglenn, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.