Ellen Grace Blythe, M.S., CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2204000634 Issued in VA

Practice address

705 Redgate Ave Apt 14
Norfolk, VA 23507-1633

Phone

(609) 207-8030

NPI assigned

Jan 14, 2021

Last updated

Jan 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 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

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1811586746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 REDGATE AVE APT 14",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071633",
            "telephone_number": "609-207-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 REDGATE AVE APT 14",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071633",
            "telephone_number": "609-207-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLYTHE",
        "first_name": "ELLEN",
        "middle_name": "GRACE",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204000634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Norfolk",
            "affiliation": "N",
            "address_1": "705 Redgate Ave Apt 14",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235071633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel Allen Bluestein, MD
• Bluestone Physician Services Southeast LLC
• Brandy R Bluitt, LCSW
• Meira Blum
• Cayleigh Blumrick, MD
• BMC Norfolk
• BMR-1 VA, LLC (American Senior Care)
• Kristina Boarts, DPT, CERT MDT
• Silvina M. Bocca, MD
• David Scott Bockelman, IDC

• Speech-Language Pathologist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.