Organization Active NPI

Blankenship Speech Pathology Services

  • Speech-Language Pathologist
  • Crossett, AR
National Provider Identifier
1851542997
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#2400 Issued in AR
Legal business name
BLANKENSHIP SPEECH PATHOLOGY SERVICES
Practice address
207 1/2 Main St
Crossett, AR 71635-2925
Phone
(870) 364-1581
Fax
(870) 364-1582
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Mrs. Jennifer R Blankenship, MCD, CCC-SLP
Title
Speech Pathologist
Phone
(870) 364-1581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP#2400 AR Primary

Addresses

Primary practice location

207 1/2 Main St
Crossett, AR 71635-2925

Mailing address

3179 Highway 169 S
Crossett, AR 71635-9155
Phone (870) 364-1581

Other identifiers 1

IdentifierTypeStateIssuer
162044721MedicaidAR

National Provider Directory

National Provider Directory

Locations

207 Main St
Crossett, AR 71635
Phone (870) 364-1581

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1851542997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3179 HIGHWAY 169 S",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716359155",
            "telephone_number": "870-364-1581",
            "fax_number": "870-364-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 1/2 MAIN ST",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716352925",
            "telephone_number": "870-364-1581",
            "fax_number": "870-364-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANKENSHIP SPEECH PATHOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "870-364-1581",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MCD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#2400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162044721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossett, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.