Active NPI
Nancy Blocher
- Speech-Language Pathologist
- Greentown, IN
National Provider Identifier
1902072317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22003785
- Practice address
- 9909 E 100 S
Greentown, IN 46936-9163 - Phone
- (765) 628-0605
- Fax
- (765) 628-3639
- NPI assigned
- May 6, 2008
- 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 | 22003785 | IN | Primary |
Addresses
Primary practice location
9909 E 100 S
Greentown, IN 46936-9163
Mailing address
9909 E 100 S
Greentown, IN 46936-9163
Phone (765) 628-0605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200809620 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1118 W Cross St
Anderson, IN 46011-9530
Phone (765) 643-1504
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22003785 | IN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Homefront Family Services | Speech-Language Pathologist | Past | Accepting new patients |
| Homefront Family Services | Past | Accepting new patients |
Locations
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Kokomo, IN
- NPI 1518069913
Speech-Language Pathologist
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
Speech-Language Pathologist
-
- Speech-Language Pathologist
- Greentown, IN
- NPI 1073789467
-
- Early Intervention Provider Agency
- Greentown, IN
- NPI 1760889570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1902072317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9909 E 100 S",
"city": "GREENTOWN",
"state": "IN",
"postal_code": "469369163",
"telephone_number": "765-628-0605",
"fax_number": "765-628-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9909 E 100 S",
"city": "GREENTOWN",
"state": "IN",
"postal_code": "469369163",
"telephone_number": "765-628-0605",
"fax_number": "765-628-3639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCHER",
"first_name": "NANCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-06",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22003785",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200809620",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greentown, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.