Individual provider Active NPI

Blossom Eseoghene Gateau

  • Speech-Language Pathologist
  • Collegeville, PA
National Provider Identifier
1851268288
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PSL003105 Issued in PA
Practice address
4000 Ridge Pike
Collegeville, PA 19426-3149
Phone
(424) 404-2048
NPI assigned
Oct 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X PSL003105 PA Primary

Addresses

Primary practice location

4000 Ridge Pike
Collegeville, PA 19426-3149

Mailing address

800 Kimberton Rd Apt B15
Phoenixville, PA 19460-4108
Phone (424) 404-2048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSL003105PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1851268288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 KIMBERTON RD APT B15",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604108",
            "telephone_number": "424-404-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 RIDGE PIKE",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263149",
            "telephone_number": "424-404-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATEAU",
        "first_name": "BLOSSOM",
        "middle_name": "ESEOGHENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "PSL003105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.