Active NPI
Blaire Harter, M.A.,C.C.C.
- Speech-Language Pathologist
- Celebration, FL
National Provider Identifier
1568599686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA9383
- Practice address
- 400 Celebration PL
Suite C200
Celebration, FL 34747-4970 - Phone
- (407) 303-4003
- Fax
- (407) 303-4303
- NPI assigned
- Feb 27, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ4050 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA9383 | FL | Primary |
Addresses
Primary practice location
400 Celebration PL
Suite C200
Celebration, FL 34747-4970
Mailing address
400 Celebration PL
Suite C200
Celebration, FL 34747-4970
Phone (407) 303-4003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891759100 | Medicaid | FL |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA9383 | FL | MD | Speech-Language Pathologist |
| SZ4050 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Early Intervention Services LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Florida Hospital Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Early Intervention Provider Agency
- Mesa, AZ
- NPI 1669818035
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432252800000",
"number": "1568599686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CELEBRATION PL",
"address_2": "SUITE C200",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347474970",
"telephone_number": "407-303-4003",
"fax_number": "407-303-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CELEBRATION PL",
"address_2": "SUITE C200",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347474970",
"telephone_number": "407-303-4003",
"fax_number": "407-303-4303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTER",
"first_name": "BLAIRE",
"name_prefix": "Mrs.",
"credential": "M.A.,C.C.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2015-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ4050",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA9383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891759100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Celebration, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.