Individual provider Active NPI

Cindy L Blakemore

  • Speech-Language Pathologist
  • Independence, MO
National Provider Identifier
1659406247
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
105627 Issued in MO
Practice address
Independence 30 School District
218 N Pleasant St
Independence, MO 64050-2655
Phone
(816) 521-2700
Fax
(816) 521-2999
NPI assigned
Feb 22, 2007
Last updated
Feb 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 105627 MO Primary

Addresses

Primary practice location

Independence 30 School District
218 N Pleasant St
Independence, MO 64050-2655

Mailing address

218 N Pleasant St
Independence, MO 64050-2655
Phone (816) 521-2700

Other identifiers 1

IdentifierTypeStateIssuer
463064600MedicaidMO

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

State licenses

LicenseStateTypeSpecialty
105627MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Independence School District Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1659406247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N PLEASANT ST",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640502655",
            "telephone_number": "816-521-2700",
            "fax_number": "816-521-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INDEPENDENCE 30 SCHOOL DISTRICT",
            "address_2": "218 N PLEASANT ST",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640502655",
            "telephone_number": "816-521-2700",
            "fax_number": "816-521-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKEMORE",
        "first_name": "CINDY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "105627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "463064600",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.