Charlotte Allene Blakesley

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

229085 Issued in AK

Practice address

12580 Old Seward Hwy
Anchorage, AK 99515-3506

Phone

(907) 301-4588

NPI assigned

Oct 9, 2024

Last updated

Oct 9, 2024By the provider in NPPES

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

Locations

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.

• Reading Write Alaska Inc

  • Speech-Language Pathologist
  • Anchorage, AK
  • NPI 1376849133

  Speech-Language Assistant

  NPD

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1801615414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17061 MONTE RD",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778102",
            "telephone_number": "503-360-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12580 OLD SEWARD HWY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153506",
            "telephone_number": "907-301-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKESLEY",
        "first_name": "CHARLOTTE",
        "middle_name": "ALLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AK",
            "license": "229085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Brian Blair, CPHT
• Theresa Blair
• Peggy Jean Blais, LCSW
• Daniel Allyn Blake, M.S.W
• Lawanda Blakely
• Mike L Blakey, PSY. D
• Melenee D. Blalock
• Annette Blanas, LCSW, BCBA
• Danielle Nicole Blanchard
• Audy Emilio Blanco

• Speech-Language Assistant in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Speech-Language Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.