Individual provider Active NPI

Lindsay Dara Blundi, M.A. C.C.C. SLP

  • Speech-Language Pathologist
  • Southampton, PA
National Provider Identifier
1780895250
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL008827 Issued in PA
Practice address
1704 Hawkins Dr
Southampton, PA 18966-4033
Phone
(215) 357-3339
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL008827 PA Primary
Speech-Language Pathologist 235Z00000X 41YS00518900 NJ

Addresses

Primary practice location

1704 Hawkins Dr
Southampton, PA 18966-4033

Mailing address

1704 Hawkins Dr
Southampton, PA 18966-4033
Phone (215) 357-3339

Other identifiers 2

IdentifierTypeStateIssuer
41YS00518900OtherNJSPEECH PATHOLOGY
SL008827OtherPASPEECH PATHOLOGY

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

LicenseStateTypeSpecialty
41YS00518900NJMDSpeech-Language Pathologist
SL008827PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780895250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 HAWKINS DR",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664033",
            "telephone_number": "215-357-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 HAWKINS DR",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664033",
            "telephone_number": "215-357-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUNDI",
        "first_name": "LINDSAY",
        "middle_name": "DARA",
        "name_prefix": "Ms.",
        "credential": "M.A. C.C.C. SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008827",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00518900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH PATHOLOGY",
            "identifier": "41YS00518900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH PATHOLOGY",
            "identifier": "SL008827",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.