Tricia Lynn Blanco, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SP 60212300 Issued in WA

Practice address

770 Mitchell Ave
Blaine, WA 98230-9149

Phone

(360) 332-0236

Fax

(360) 332-0555

NPI assigned

Jan 22, 2013

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

Other names 1

• Tricia Lynn Rawls Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Blaine School District

  • Local Education Agency (LEA)
  • Blaine, WA
  • NPI 1053340836
  NPD (past)

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1841538048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 MITCHELL AVE",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982309149",
            "telephone_number": "360-332-0236",
            "fax_number": "360-332-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MITCHELL AVE",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982309149",
            "telephone_number": "360-332-0236",
            "fax_number": "360-332-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "TRICIA",
        "middle_name": "LYNN",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "WA",
            "license": "SP 60212300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "RAWLS",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blaine & Birch Bay Family Dentistry
• Blaine Chiropractic Clinic LLC
• Blaine Chiropractic Wellness PLLC
• Blaine of Cascadia LLC
• Blaine School District
• Andrea M Blois, P.T.
• Brittiony Jo Borges, LMHCA
• Sarah Elizabeth Bouma, LMP
• David Bradshaw, MS, LMHC, NCC
• Sara Britt

• Speech-Language Assistant in Blaine, WA
• Providers in Blaine, WA by specialty
• Speech-Language Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.