Michelle Blankenship, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Dover, DE
NPI 1801945845 · NPPES record last updated May 30, 2025
Key facts
- NPI
- 1801945845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 01-0000690 (DE)
- Practice address
- 100 Enterprise PL
Suite 1
Dover, DE 19904-8202 - Phone
- (302) 678-3353
- Fax
- (302) 678-9245
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250710000980 | MD | Practitioner - Qualified Speech Language Pathologist | 5597007633 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11510 | MD | MD | Pediatric Dentist |
| 01-0000690 | DE | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11510 | MD | |
| Speech-Language Pathologist | 235Z00000X | 01-0000690 | DE | Yes |
Addresses
Primary practice location
100 Enterprise PL
Suite 1
Dover, DE 19904-8202
Mailing address
100 Enterprise PL
Suite 1
Dover, DE 19904-8202
Phone (302) 678-3353
Other providers in Dover, DE
- Shawn Blackburn
- Ashley Sheri Blackledge
- Kristin Elizabeth Blackway
- Allison Marie Blackwell
- Tyera Blackwell
- Susan L Blaum-Dinatale
- Blessed Haven Care, LLC
- Samantha Marie Bloch
- Bloomwell Medical Equipment LLC
- Blue Ridge Home Care, Inc
All providers in Dover, DE · Speech-Language Pathologist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.