KELSEY MARIE BLACKBURN


Address: 5301 Providence Rd Ste 80, Virginia Beach, VA 23464-4128
Phone: 7574671900

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 2203000736 VA Speech, Language and Hearing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1413 Laskin Rd, Virginia Beach, VA 234516007 7572632800

Office Location

Street Address 5301 PROVIDENCE RD STE 80
City VIRGINIA BEACH
State VA
Zip Code 23464-4128

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City VIRGINIA BEACH
Zip Code 23464

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Dataset Information

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.

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