Jennifer Blackmon

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

103274 Issued in TX

Practice address

204 W South St
Leander, TX 78641-1719

Phone

(512) 529-3879

NPI assigned

Oct 1, 2021

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

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.

• Leander Independant School District

  • Local Education Agency (LEA)
  • Leander, TX
  • NPI 1326188624
  NPD (past)

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1659043289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W SOUTH ST",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786411719",
            "telephone_number": "512-529-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W SOUTH ST",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786411719",
            "telephone_number": "512-529-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMON",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bembel Logistics LLC
• Cara Bergman Ponish, RPH
• Aneesha Bhambhani
• Sangeeta Suresh Bhat, PHARM.D.
• Savannah Bily
• Kelly Jayne Blake, NBCC, LPC ASSOCIATE
• David Blatchley, DC
• Rebecca Blick, OTR
• Blissnutri Wellness LLC
• Dana L Blomstrom, DPT

• Speech-Language Pathologist in Leander, TX
• Providers in Leander, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.