Melissa Blake
Individual provider Active NPI Speech-Language Pathologist · Hastings, NE
NPI 1972052157 · NPPES record last updated Sep 28, 2016
Key facts
- NPI
- 1972052157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 1924 W a St
Hastings, NE 68901-5650 - Phone
- (402) 461-7578
- NPI assigned
- Sep 28, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
1924 W a St
Hastings, NE 68901-5650
Mailing address
2324 W 11TH St
Grand Island, NE 68803-3622
Phone (308) 384-0317
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 473600101 | Medicaid | NE |
Other providers in Hastings, NE
- Ayonya Birthi
- Nichole Elizabeth Bittner
- Brenda Marie Bivens
- Daniel Bizzell
- Scott Bjerke
- Cheryl Blankenship
- Jon Blazer
- Julia Block
- Noelle Boehle
- Barry A Bohlen
All providers in Hastings, NE · Speech-Language Pathologist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.