KELSEY MARIE BLACKBURN (NPI# 1235633967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235633967 |
| Entity Type | Individual |
| Full Name | KELSEY MARIE BLACKBURN |
| Practice Address |
5301 Providence Rd Ste 80 Virginia Beach VA 23464-4128 |
| Mailing Address |
3789 Candy Ct Apt 202 Virginia Beach VA 23455-2008 |
| Practice Telephone | 7574671900 |
| Practice Fax Number | 7574677900 |
| Mailing Telephone | 8142896023 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2203000736 | VA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1413 Laskin Rd, Virginia Beach, VA 234516007 | 7572632800 |
| Street Address |
5301 PROVIDENCE RD STE 80 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23464-4128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235376120 | Allison N Gibbs | Physical Therapist | 5301 Providence Rd Ste 80, Virginia Beach, VA 23464-4128 | 2009-01-14 |
| 1083263511 | Tamara Ibarlucea Tugung | Speech-Language Pathologist | 5301 Providence Rd Ste 80, Virginia Beach, VA 23464-4128 | 2019-09-07 |
| 1558873372 | Patrick Michael Deleonibus | Physical Therapist | 5301 Providence Rd Ste 80, Virginia Beach, VA 23464-4128 | 2017-11-02 |
| 1477064814 | Bianca Allegra Dunn | Occupational Therapist | 5301 Providence Rd Ste 80, Virginia Beach, VA 23464-4128 | 2017-10-12 |
| 1205353992 | Anne Stone | Physical Therapist | 5301 Providence Rd Ste 80, Virginia Beach, VA 23464-4128 | 2017-08-24 |
| 1790209211 | Charles Kromer | Physical Therapist | 5301 Providence Rd Ste 80, Virginia Beach, VA 23464-4128 | 2017-07-26 |
| 1952823676 | Elizabeth Desiree Forgey | Speech-Language Pathologist | 5301 Providence Rd Ste 80, Virginia Beach, VA 23464-4128 | 2017-07-14 |
| 1669994307 | Mary Blake Hinshaw | Speech-Language Pathologist | 5301 Providence Rd Ste 80, Virginia Beach, VA 23464-4128 | 2017-07-14 |
| 1568983864 | Lauren Elisabeth Mechtel | Speech-Language Pathologist | 5301 Providence Rd Ste 80, Virginia Beach, VA 23464-4128 | 2017-06-28 |
| 1871723627 | Deborah James | Physical Therapist | 5301 Providence Rd Ste 80, Virginia Beach, VA 23464-4128 | 2009-07-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610581 | Ainsley's Angels of America | Durable Medical Equipment & Medical Supplies | 828 Cabrini Place, Virginia Beach, VA 23464 | 2019-03-29 |
| 1104313055 | Your Family Is Family Home Healthcare Services, LLC | Respite Care | 1311 Hafford Road, Virginia Beach, VA 23464 | 2018-04-17 |
| 1497274765 | Jamie Crisman | Occupational Therapist | 1400 Fordham Drive, Virginia Beach, VA 23464 | 2017-09-18 |
| 1861919334 | Joshua Hoxter | Chiropractor | 6070 Indian River Rd Ste 102, Virginia Beach, VA 23464 | 2017-08-25 |
| 1669909917 | Toni Faye Tayag | Specialist/Technologist | 909 Tidemark Court, Virginia Beach, VA 23464 | 2017-05-17 |
| 1922545540 | Divinefavor LLC | Non-emergency Medical Transport (VAN) | 1014 Level Green Blvd, Virginia Beach, VA 23464 | 2017-01-20 |
| 1326499807 | David Klucznik | Dentist | 5564 Indian River Road, Virginia Beach, VA 23464 | 2016-06-27 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1588071807 | Linda Mathis | Skilled Nursing Facility | 5520 Indian Road, Virginia Beach, VA 23464 | 2014-07-18 |
| 1083045561 | Manny-nelson Med LLC | Durable Medical Equipment & Medical Supplies | 1612 Centerville Turnpike, Suite 308, Virginia Beach, VA 23464 | 2013-12-09 |
| Find all providers in zip 23464 | ||||
| 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 |
|---|---|---|---|---|
| 1316547268 | Brynn Arica Carey | Speech-Language Pathologist | Laskin Road Annex, 1413 Laskin Road, Virginia Beach, VA 23451 | 2020-10-29 |
| 1124646278 | Minichiello Therapy Services | Speech-Language Pathologist | 4312 Madison Mews Dr, Virginia Beach, VA 23456-8242 | 2020-07-06 |
| 1447807656 | Andrea Elizabeth Crowley | Speech-Language Pathologist | 645 Declaration Rd, Virginia Beach, VA 23462-2252 | 2019-08-22 |
| 1790255198 | Michael Mascolo | Speech-Language Pathologist | 2213 Round Hill Dr, Virginia Beach, VA 23464-8855 | 2018-11-28 |
| 1790255149 | Mary Judith Weaver | Speech-Language Pathologist | 1716 Grey Friars Chase, Virginia Beach, VA 23456-5435 | 2018-11-28 |
| 1356810774 | Gretchen Himes | Speech-Language Pathologist | 601 S Lynnhaven Rd, Virginia Beach, VA 23452-6536 | 2018-11-14 |
| 1659850311 | Sonia Carmen Violette | Speech-Language Pathologist | 5301 Providence Rd Ste 80&90, Virginia Beach, VA 23464-4128 | 2018-08-13 |
| 1265927123 | Rita Bland | Speech-Language Pathologist | 4508 Harshaw Ct, Virginia Beach, VA 23456-4849 | 2018-06-24 |
| 1437656949 | Tonya Jill Macdonald | Speech-Language Pathologist | 3532 Kings Grant Rd, Virginia Beach, VA 23452-4531 | 2018-04-11 |
| 1902301575 | Erin Kathleen Cooper | Speech-Language Pathologist | 1257 Rosemont Rd, Virginia Beach, VA 23453-2119 | 2018-03-27 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23464 |
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| 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.