Robin Ann Blondin, M.S SPEECH PATHOLOGY

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146000650 Issued in IL

Practice address

Fearn Elementary School
1600 Hawksley Lane
North Aurora, IL 60542

Phone

(630) 301-5124

NPI assigned

Apr 10, 2019

Last updated

Apr 10, 2019By the provider in NPPES

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1528521283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 PINECREST DR",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549248",
            "telephone_number": "630-715-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FEARN ELEMENTARY SCHOOL",
            "address_2": "1600 HAWKSLEY LANE",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "60542",
            "telephone_number": "630-301-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONDIN",
        "first_name": "ROBIN",
        "middle_name": "ANN",
        "credential": "M.S SPEECH PATHOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146000650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in North Aurora, IL
• Providers in North Aurora, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.