MRS. CONNIE FAYE BLACKFORD (NPI# 1164987129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164987129 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE FAYE BLACKFORD |
| Other Name | MISS CONNIE FAYE LAUTNER |
| Credential | MA, CCC-SP |
| Practice Address |
607 Hillcrest Dr Newburgh IN 47630-1356 |
| Practice Telephone | 8124534649 |
| Mailing Telephone | 8124534649 |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 22001775A | IN | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | IPLA - SPEECH PATHOLOGIST LICENSE | 22001775A | 01 |
| ASHA - CCC-SLP | 00117481 | 01 |
| Street Address |
607 HILLCREST DR |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-1356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532516 | Alexis N Lamantia | Speech-Language Pathologist | 137 Montgomery St, Newburgh, NY 12550-3636 | 2018-06-20 |
| 1598284119 | Alyssa Nicole Ruggiero | Speech-Language Pathologist | 28 Sylvan Park Dr, Newburgh, NY 12550-1500 | 2017-09-14 |
| 1508224536 | Heather Lynn Hull | Speech-Language Pathologist | 344 Gidney Ave, Newburgh, NY 12550-3330 | 2016-02-04 |
| 1306220678 | Emma Albarino | Speech-Language Pathologist | 344 Gidney Avenue, Newburgh, NY 12550 | 2015-07-16 |
| 1982975264 | Donna Gail Coleman | Speech-Language Pathologist | 7600 Michael Ln, Newburgh, IN 47630-9576 | 2012-01-19 |
| 1003104134 | Rebecca Gray | Speech-Language Pathologist | 11 Carol St, Newburgh, NY 12550 | 2011-07-11 |
| 1528368636 | Sarah Gannon Maouris | Speech-Language Pathologist | 62 Overlook Dr, Newburgh, NY 12550-1331 | 2010-10-25 |
| 1487971388 | Noel Elizabeth Mckenna | Speech-Language Pathologist | 34 Nob Cir, Newburgh, NY 12550-1247 | 2010-05-01 |
| 1588804009 | Lisa Wing Kiernan | Speech-Language Pathologist | 2 Russo Dr, Newburgh, NY 12550-1147 | 2009-02-23 |
| 1750536926 | Kathleen Ellen Anderson | Speech-Language Pathologist | 12 Front St, Newburgh, NY 12550-5622 | 2008-12-01 |
| Find all providers in NEWBURGH | ||||
Please comment or provide details below to improve the information on MRS. CONNIE FAYE BLACKFORD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.