Kathryn Brannnen Blaney, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4155 Issued in OK

Practice address

2810 Dorchester Dr Apt 24
Oklahoma City, OK 73120-4523

Phone

(405) 888-1379

NPI assigned

Oct 29, 2014

Last updated

Oct 29, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Speech Pathway LLC

  • Speech-Language Pathologist
  • Oklahoma City, OK
  • NPI 1659637148
  Medicare reassignment NPD

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1952706244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 DORCHESTER DR APT 24",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731204523",
            "telephone_number": "405-888-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 DORCHESTER DR APT 24",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731204523",
            "telephone_number": "405-888-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANEY",
        "first_name": "KATHRYN",
        "middle_name": "BRANNNEN",
        "name_prefix": "Miss",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond M. Blanchey, LADC
• Connie Blanco, OTR
• Luis J. Blanco, D.M.D., M.S.
• Meredith Leigh Bland, OTR/L
• Joy-Kaye Blaney
• Laura Elizabeth Blaney, LPC
• Walker Stephen Blaney
• Bryan Michael Blankenship, D.D.S
• Christie A Blankenship, OT
• Jessica Blankenship, RDMS, RVT

• Speech-Language Pathologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.

Verify at the official NPI Registry.