Active NPI
Jesse Blake
- Speech-Language Pathologist
- Leominster, MA
National Provider Identifier
1861676041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 44 Keystone Dr
Leominster, MA 01453-1904 - Phone
- (978) 537-9327
- NPI assigned
- Dec 24, 2007
- Last updated
- Dec 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
44 Keystone Dr
Leominster, MA 01453-1904
Mailing address
27 Worsted St
Unit 3a
Franklin, MA 02038-3039
Phone (978) 973-5150
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198454400000",
"number": "1861676041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 WORSTED ST",
"address_2": "UNIT 3A",
"city": "FRANKLIN",
"state": "MA",
"postal_code": "020383039",
"telephone_number": "978-973-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 KEYSTONE DR",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014531904",
"telephone_number": "978-537-9327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "JESSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-24",
"last_updated": "2007-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.