Active NPI
Kathleen Blancas, SLP
- Speech-Language Pathologist
- Sunland Park, NM
National Provider Identifier
1497967384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- C3227
- Practice address
- 4950 McNutt Road
Sunland Park, NM 88021 - Phone
- (505) 882-6200
- Fax
- (505) 882-6280
- NPI assigned
- May 4, 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 | C3227 | NM | Primary |
Addresses
Primary practice location
4950 McNutt Road
Sunland Park, NM 88021
Mailing address
4950 McNutt Road
Sunland Park, NM 88021
Phone (505) 882-6200
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 |
|---|---|---|---|
| C3227 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497967384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4950 MCNUTT ROAD",
"city": "SUNLAND PARK",
"state": "NM",
"postal_code": "88021",
"telephone_number": "505-882-6200",
"fax_number": "505-882-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 MCNUTT ROAD",
"city": "SUNLAND PARK",
"state": "NM",
"postal_code": "88021",
"telephone_number": "505-882-6200",
"fax_number": "505-882-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCAS",
"first_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "C3227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunland Park, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.