Kenya Moneice Blocker

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

PCET003390 Issued in GA

Practice address

7 Executive Park Dr NE Apt 3409
Atlanta, GA 30329-2277

Phone

(305) 849-0563

NPI assigned

Oct 7, 2021

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)

Not enrolled

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.

• Therapeutic Speech and Language Services Inc.

  • Speech-Language Pathologist
  • Atlanta, GA
  • NPI 1538592530
  NPD (past)

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1508528456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 EXECUTIVE PARK DR NE APT 3409",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292277",
            "telephone_number": "305-849-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 EXECUTIVE PARK DR NE APT 3409",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292277",
            "telephone_number": "305-849-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCKER",
        "first_name": "KENYA",
        "middle_name": "MONEICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET003390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald L. Bliwise, PH.D.
• John Muir Bloch
• Donald Leon Block, M.D.
• Frank Emmanuel Block Jr., MD
• Peter C Block, MD
• Mark Hampton Blocker, PA
• Jolie G Blodgett
• Kirsten Blomberg, CNM
• Tyler Jean Blomquist, FNP-BC
• Robert Blondeau

• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.