Megan E Black-Smith, SLP, M.S, CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12104020-4102 Issued in UT

Practice address

1325 E Browning Ave
Salt Lake City, UT 84105-2601

Phone

(480) 204-1353

NPI assigned

Apr 19, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Blacksmith Pediatric Speech Therapy, LLC

  • Speech-Language Pathologist
  • Salt Lake City, UT
  • NPI 1518636331
  NPD Authorized official

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1801186226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E BROWNING AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052601",
            "telephone_number": "480-204-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E BROWNING AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052601",
            "telephone_number": "480-204-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK-SMITH",
        "first_name": "MEGAN",
        "middle_name": "E",
        "credential": "SLP, M.S, CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA7196",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "12104020-4102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF UTAH DEPARTMENT OF COMMERCE SLP LICENSE",
            "identifier": "12104020-4102",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Bjornn
• Annie Dee Bjornson, OTRL
• BKP Dental
• Black Lab Speech Therapy LLC
• Black Panda LLC
• Alexa Marie Black, LCSW, PMH-C
• Brian Jerry Black, D.D.S.
• Devin Black
• Emma Black
• Heather Black, PSYD

• Speech-Language Pathologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.