Jennifer L. Blankenberger
Individual provider Active NPI Developmental Therapist · Indianapolis, IN
NPI 1982171096 · NPPES record last updated Oct 26, 2018
Key facts
- NPI
- 1982171096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 7725 N College Ave
Indianapolis, IN 46240-2504 - Phone
- (317) 253-1481
- NPI assigned
- Oct 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Indiana Auditor of St | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | IN | Yes |
Addresses
Primary practice location
7725 N College Ave
Indianapolis, IN 46240-2504
Mailing address
7725 N College Ave
Indianapolis, IN 46240-2504
Phone (317) 253-1481
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222Q00000X | Other | BLV SPECIALIST |
Other providers in Indianapolis, IN
- David T. Blank
- Julia L Blank
- Caroline Elise Blankemeier
- Ashley Blankenbaker
- Amanda Blankenberger
- Jenny M Blankenberger
- Peter B Blankenhorn
- Alyssa Blankenship
- Carly Elizabeth Blankenship
- Terry Lee Blankenship
All providers in Indianapolis, IN · Developmental Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2018. 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.