Active NPI
Alana Blackburn, SLP
- Speech-Language Pathologist
- Alexandria, VA
National Provider Identifier
1891349312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202009830
- Practice address
- 8111 Tis Well Dr
Alexandria, VA 22306-3211 - Phone
- (703) 348-7571
- NPI assigned
- Aug 1, 2019
- Last updated
- Nov 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 2202009830 | VA | Primary |
Addresses
Primary practice location
8111 Tis Well Dr
Alexandria, VA 22306-3211
Mailing address
3015 Nicosh Cir Unit 2103
Falls Church, VA 22042-1236
Phone (610) 393-9017
Other names 1
- Alana Patton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202009830 | VA | MD | Speech-Language Pathologist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1891349312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 NICOSH CIR UNIT 2103",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220421236",
"telephone_number": "610-393-9017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8111 TIS WELL DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223063211",
"telephone_number": "703-348-7571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKBURN",
"first_name": "ALANA",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-01",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202009830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALANA",
"last_name": "PATTON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.