Sally Ann Blankenship, M.A., CCC-S.P.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP5956 Issued in CA

Practice address

2208 Park Marina Dr
Redding, CA 96001-2111

Phone

(530) 244-0263

Fax

(530) 247-0688

NPI assigned

Aug 18, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Susan E Whitaker Shasta Speech & Language

  • Speech-Language Pathologist
  • Redding, CA
  • NPI 1568782985
  NPD (past)

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1487886859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496084",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960496084",
            "telephone_number": "530-244-0263",
            "fax_number": "530-247-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 PARK MARINA DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012111",
            "telephone_number": "530-244-0263",
            "fax_number": "530-247-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "SALLY",
        "middle_name": "ANN",
        "credential": "M.A., CCC-S.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-18",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP5956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clair Angelique Blais, RN
• Matthew Blaisdell, D.O.
• Blakecis, Inc.
• Duane David Bland, M.D.
• Tikoes A. Blankenberg, M.D.
• Kierra Blaser
• Gerry Dale Blasingame, MA, LMFT
• Angela Jean Blessing
• Heather Bletcher, CFM
• Joshua Mark Bloom, M.S., CF-SLP

• Speech-Language Pathologist in Redding, CA
• Providers in Redding, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.