Angela Gayle Blevins, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

KY-2062 Issued in KY

Practice address

2150 Lexington Rd Ste G
Richmond, KY 40475-7924

Phone

(606) 305-4354

Fax

(877) 665-7294

NPI assigned

Nov 17, 2010

Last updated

Nov 17, 2010By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Choice Home Care, LLC

  • Rehabilitation Clinic/Center
  • Richmond, KY
  • NPI 1821324245

  Speech-Language Pathologist

  NPD (past)
• The Kid Spot Center

  • Speech-Language Pathologist
  • Campbellsville, KY
  • NPI 1104146109
  NPD (past)
• The Kid Spot Center

  • Speech-Language Pathologist
  • Elizabethtown, KY
  • NPI 1710307152
  NPD (past)

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1841592243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 LEXINGTON RD STE G",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757924",
            "telephone_number": "606-305-4354",
            "fax_number": "877-665-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 LEXINGTON RD STE G",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757924",
            "telephone_number": "606-305-4354",
            "fax_number": "877-665-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "ANGELA",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-2062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy R Bishop, PHARMD
• Black Cotton Therapy Services of Kentucky LLC
• Zachary Black
• Michael Blankenbecler
• Morgan Lee Blanton, D.O.
• Jacob Elisha Ray Blevins, PMHNP
• Rhonda Blevins
• Tyler Blevins
• Bluegrass Cardiology PSC
• Bluegrass Counseling and Psychotherapy, LLC

• Speech-Language Pathologist in Richmond, KY
• Providers in Richmond, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.