Patricia Blyden, SPEECH LANGUAGE PATH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.14560 Issued in OH

Practice address

2820 Hillside Ave
Springfield, OH 45503-5041

Phone

(614) 374-1318

NPI assigned

Sep 18, 2020

Last updated

Apr 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1518573138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5216 KORNWAL DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432322814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 HILLSIDE AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455035041",
            "telephone_number": "614-374-1318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5216 Kornwal Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432322814",
            "country_code": "US",
            "telephone_number": "614-374-1318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLYDEN",
        "first_name": "PATRICIA",
        "credential": "SPEECH LANGUAGE PATH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.14560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Marie Blanton, APRN, FNP-BC
• Kelly Jean Blazer
• BLC Springfield-GC, LLC (Grand Court Springfield)
• Blueprint for Success LLC
• Douglas Arthur Blumenschein, PTA
• Zaw Min Bo, M.D.
• Yolanda Isela Board, LPCC-S
• Rebecca Marie Boardman
• Karen Bobst
• Dionna Dawn Boddie, COTA

• Speech-Language Pathologist in Springfield, OH
• Providers in Springfield, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.