Individual provider Active NPI

Anna Kate Blehm, M.A.,CCC-SLP

  • Speech-Language Pathologist
  • Colo SPGS, CO
National Provider Identifier
1417926080
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12009201 Issued in CO
Practice address
2776 Janitell Rd
Colo SPGS, CO 80906-4103
Phone
(719) 332-4689
NPI assigned
Mar 16, 2006
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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 12009201 CO Primary

Addresses

Primary practice location

2776 Janitell Rd
Colo SPGS, CO 80906-4103

Mailing address

2776 Janitell Rd
Colorado Springs, CO 80906-4103
Phone (719) 332-4689

Other practice location 1

6965 Tutt Blvd Ste 100A
Colorado Springs, CO 80923-3597
Phone (719) 332-4689

Other practice location 2

8415 Explorer Dr Ste 150
Colorado Springs, CO 80920
Phone (719) 332-4689

Other identifiers 1

IdentifierTypeStateIssuer
38970228MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160505001338 CO Practitioner - Qualified Speech Language Pathologist 8921307430 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12009201COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Katey Blehm M.a. CCC-SLP Speech-Language Pathologist CurrentSince Feb 16, 2016 Accepting new patients

Locations

2776 Janitell Rd
Colorado Springs, CO 80906
Phone (719) 332-4689

2776 Janitell Rd
Ofc
Colorado Springs, CO 80906
Phone (719) 332-4689

6965 Tutt Blvd
Ste 100A
Colorado Springs, CO 80923
Phone (719) 332-4689

6985 Tutt Blvd
Ste 100
Colorado Springs, CO 80923
Phone (719) 332-4689

8415 Explorer Dr
Ste 150
Colorado Springs, CO 80920
Phone (719) 332-4689

Organizations & group practices 3

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1417926080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2776 JANITELL RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064103",
            "telephone_number": "719-332-4689",
            "fax_number": "719-282-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 JANITELL RD",
            "city": "COLO SPGS",
            "state": "CO",
            "postal_code": "809064103",
            "telephone_number": "719-332-4689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6965 Tutt Blvd Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809233597",
            "country_code": "US",
            "telephone_number": "719-332-4689",
            "fax_number": "719-282-1449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8415 Explorer Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80920",
            "country_code": "US",
            "telephone_number": "719-332-4689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEHM",
        "first_name": "ANNA",
        "middle_name": "KATE",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "12009201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38970228",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colo SPGS, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.