Active NPI
Heather F Blanchard, MED. CCC-SLP
- Speech-Language Pathologist
- Valdosta, GA
National Provider Identifier
1508000555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP007053
- Practice address
- 1701 N Patterson St
Valdosta, GA 31602-2940 - Phone
- (229) 881-1241
- Fax
- (229) 244-4244
- NPI assigned
- Apr 21, 2009
- Sex
- Female
- Sole proprietor
- No
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 | SLP007053 | GA | Primary |
Addresses
Primary practice location
1701 N Patterson St
Valdosta, GA 31602-2940
Mailing address
1701 N Patterson St
Valdosta, GA 31602-2940
Phone (229) 881-1241
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 |
|---|---|---|---|
| SLP007053 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1508000555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 N PATTERSON ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022940",
"telephone_number": "229-881-1241",
"fax_number": "229-244-4244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N PATTERSON ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022940",
"telephone_number": "229-881-1241",
"fax_number": "229-244-4244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHARD",
"first_name": "HEATHER",
"middle_name": "F",
"name_prefix": "Mrs.",
"credential": "MED. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-21",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP007053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.