THERESA PATRICIA BLACKWOOD (NPI# 1558975904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558975904 |
| Entity Type | Individual |
| Full Name | THERESA PATRICIA BLACKWOOD |
| Credential | SLP |
| Practice Address |
446 Wiltshire Blvd Port Orange FL 32127-6026 |
| Practice Telephone | 3862129840 |
| Mailing Telephone | 3862129840 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 15690 | FL | Speech, Language and Hearing Service Providers |
| Street Address |
446 WILTSHIRE BLVD |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32127-6026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918179 | Karen Lugo Morales | Massage Therapist | 1394 Dunlawton Ave, Apartment 505, Port Orange, FL 32127 | 2020-09-30 |
| 1265952568 | Compass Nutrition LLC | Dietitian, Registered | 840 Angelina Court, Port Orange, FL 32127 | 2017-06-27 |
| 1942730544 | Ambili Gopinathan Nair | Nurse Anesthetist, Certified Registered | 6216 Morning Drive, Port Orange, FL 32127 | 2017-06-15 |
| 1649707993 | Jill Lynn Sheldon | Social Worker | 3959 South Nova Road, Suiteb15, Port Orange, FL 32127 | 2017-05-17 |
| 1003350620 | Irene A Zachry | Interpreter | 6239 Yellowstone Dr. Port Orange Fl, Port Orange, FL 32127 | 2016-12-16 |
| 1427460328 | Jonathan Ivan Rodriguez Arocho | Chiropractor | 940 Village Trail, Unit 4-105, Port Orange, FL 32127 | 2014-05-27 |
| 1982015913 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1208 Dunlawton Ave, Port Orange, FL 32127 | 2014-05-13 |
| 1699105288 | Counseling & Consultation, Corp. | Early Intervention Provider Agency | 3959 S. Nova Rd., Suite 14, Port Orange, FL 32127 | 2013-11-18 |
| 1427484773 | Usv Optical Inc. | Technician/Technologist | 1800 Dunlawton Ave., Port Orange, FL 32127 | 2013-09-18 |
| 1104194018 | Jinny E Ruhlman | Marriage & Family Therapist | 4725 Dixie Dr, Ponce Inlet, FL 32127 | 2011-12-06 |
| Find all providers in zip 32127 | ||||
| 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 |
|---|---|---|---|---|
| 1609357193 | Dana Kaufman | Speech-Language Pathologist | 900 N Swallow Tail Dr Ste 107, Port Orange, FL 32129-6103 | 2018-08-23 |
| 1881185163 | Kelly Lynn Wozniak | Speech-Language Pathologist | 5517 Estero Loop, Port Orange, FL 32128-0006 | 2018-05-23 |
| 1184115560 | Kylie A Buatsi | Speech-Language Pathologist | 6140 Sequoia Dr, Port Orange, FL 32127-6761 | 2018-05-22 |
| 1760725170 | Carolyn Ann Hovey | Speech-Language Pathologist | 617 Amy Lee Cir, Port Orange, FL 32127-7542 | 2013-04-03 |
| 1932469061 | Caitlin Patricia Varga | Speech-Language Pathologist | 807 Banbury Dr, Port Orange, FL 32129-3752 | 2012-05-23 |
| 1518267046 | Corin M Miller | Speech-Language Pathologist | 4645 S Clyde Morris Blvd, Suite 407, Port Orange, FL 32129-3004 | 2010-11-01 |
| 1326228974 | Virginia Smith Wiley-sylvia | Speech-Language Pathologist | 4573 Miles Drive, Port Orange, FL 32127 | 2007-11-13 |
| 1922148451 | Ivonne Carmen Randolph | Speech-Language Pathologist | 5791 Falling Tree Ln, Port Orange, FL 32127-7993 | 2007-02-07 |
| 1689760977 | Lauren Birch | Speech-Language Pathologist | 4081 Clock Tower Drive, Port Orange, FL 32129-4518 | 2006-10-05 |
| 1205449717 | Amanda Breitenbach | Speech-Language Pathologist | 5535 S Williamson Blvd, Port Orange, FL 32128-8311 | 2020-08-25 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32127 |
Please comment or provide details below to improve the information on THERESA PATRICIA BLACKWOOD.
| 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.