Blacksmith Pediatric Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BLACKSMITH PEDIATRIC SPEECH THERAPY, LLC

Practice address

1325 E Browning Ave
Salt Lake City, UT 84105-2601

Phone

(480) 204-1353

Fax

(385) 202-3312

NPI assigned

Sep 7, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Megan Black-Smith, M.S., CCC-SLPNPI 1801186226

Title

Speech Language Pathologist

Phone

(480) 204-1353

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan E Black-Smith, SLP, M.S, CCC

  • Speech-Language Pathologist
  • Salt Lake City, UT
  • NPI 1801186226
  NPD Authorized official

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1518636331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E BROWNING AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052601",
            "telephone_number": "480-204-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E BROWNING AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052601",
            "telephone_number": "480-204-1353",
            "fax_number": "385-202-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKSMITH PEDIATRIC SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "BLACK-SMITH",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "480-204-1353",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darnell Arshad Blackett
• Cassidy Raye Blackham
• Michael Blackhurst
• Rachel Blackhurst
• Richard L Blackhurst, DDS
• Erin E. Blackstock, MD
• Blackstone Dental PLLC
• Augusta Blackstone
• Clinton T Blackwood, D.D.S.
• Cheri Danielle Blades, M.S., CCC-SLP

• Speech-Language Pathologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Speech-Language Pathologist in Utah

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