Kimberly C Blakley, SLP-INTERN

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

118918 Issued in TX

Practice address

724 24TH Ave NW Ste 100
Norman, OK 73069-6214

Phone

(405) 307-1000

NPI assigned

Oct 28, 2021

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

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Norman Regional Providers Specialty Care

  • Surgery Physician
  • Norman, OK
  • NPI 1548513773
  Medicare reassignment NPD
• Big Country Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Sulphur Springs, TX
  • NPI 1437489184
  NPD (past)

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1831853415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701330",
            "telephone_number": "405-307-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 24TH AVE NW STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696214",
            "telephone_number": "405-307-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKLEY",
        "first_name": "KIMBERLY",
        "middle_name": "C",
        "credential": "SLP-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "118918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Blake
• Clinton Larry Blake, D.D.S.
• Donisha Blakely
• Kailee Blakeway
• Darrell L Blakley
• Kimberly R Blakley
• Surman Bland, BCBA
• Cara Anne Blankenship Taylor, M.S., CFY-SLP
• Kayla Blankenship
• Erin Darby Blass, CRNA

• Speech-Language Pathologist in Norman, OK
• Providers in Norman, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.