Blossom Corinne Lentz, CF-SLP, TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

245 Rider Ave
Patchogue, NY 11772-3922

Phone

(631) 513-2659

NPI assigned

Aug 19, 2024

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

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1740012491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 RIDER AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723922",
            "telephone_number": "631-513-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 RIDER AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723922",
            "telephone_number": "631-513-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTZ",
        "first_name": "BLOSSOM",
        "middle_name": "CORINNE",
        "name_prefix": "Ms.",
        "credential": "CF-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Lee, PA-C
• Brian B Lee, M.D.
• Likun Fang Lee, LAC
• Marisa Lelia Hayes, L.C.S.W.
• Alexandra Ann Lennon, LCSW
• Carly L. Lentz, SPEECH THERAPIST
• Let It Go Janet White Adult Health Nurse Practitioner PC
• Ruvimbo Hazel Lettieri
• Keith Francis Levinson, DPT
• Donamar Lewis, NP

• Speech-Language Pathologist in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.