Lisa Bloechle, M.A.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

005682 Issued in NY

Practice address

301 Smithtown Blvd
Nesconset, NY 11767-2080

Phone

(631) 588-0530

NPI assigned

Jul 6, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Cleary Deaf Child Center, Inc.

  • Local Education Agency (LEA)
  • Nesconset, NY
  • NPI 1801944665
  NPD (past)

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1821385246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 6TH AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117802707",
            "telephone_number": "631-862-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SMITHTOWN BLVD",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117672080",
            "telephone_number": "631-588-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOECHLE",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "005682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Agnes Benz, PT
• Lindsay Berman
• Thomas Biancaniello, M.D.
• Kathleen Biase, RN
• Stephanie Biren, MS, LCAT
• Linda M Bocchichio, DC
• Michelle Cine Bordes
• Daniella Rose Bray, PHARMD
• Joan Patricia Brennan-Hughes
• Jennifer L Briante, HIS

• All providers in Nesconset, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.