Melanie Blair, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ4613 Issued in FL

Practice address

1413 Blue Spring CT
Saint Augustine, FL 32092-2454

Phone

(904) 615-1503

NPI assigned

Sep 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1942450523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 BLUE SPRING COURT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921256",
            "telephone_number": "904-615-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 BLUE SPRING CT",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320922454",
            "telephone_number": "904-615-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "MELANIE",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ4613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SZ4613",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Reisdorf Bishop
• Daniel Alexander Black, DPM
• Lindsey Black
• Sarah Rose Blackwelder
• Blade and Bridge Healthcare PLLC
• Romeo Blanchette II, PHARMD
• Ryan Blanco
• Roberta Blancq, PT
• Adrian Bland, OT, DPT
• Brandi M Bland, HIS

• Speech-Language Pathologist in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.