JESSICA NICOLE BLAKE (NPI# 1699940221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699940221 |
| Entity Type | Individual |
| Full Name | JESSICA NICOLE BLAKE |
| Other Name | JESSICA NICOLE HILL |
| Credential | M.S., CCC-SLP |
| Practice Address |
19670 State Road 120 Bristol IN 46507-9131 |
| Practice Telephone | 5742946197 |
| Practice Fax Number | 5742969158 |
| Mailing Telephone | 5742946197 |
| Mailing Fax Number | 5742969158 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 22004183A | IN | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898887 | Jessica Rose Blake | Physical Therapist | Usahc Vicenza, Apo, AE 09630 | 2019-12-17 |
| 1770057085 | Jessica Blake | Dietitian, Registered | 26905 Ne Virginia St, Duvall, WA 98019-8473 | 2019-01-20 |
| 1821501602 | Jessica Blake | Speech-Language Pathologist | 9000 College St, Collinsville, IL 62234-1701 | 2017-11-15 |
| 1346322898 | Jessica Michelle Blake | Marriage & Family Therapist | 300 Sunnyhills Dr, San Anselmo, CA 94960-1909 | 2006-10-20 |
| 1609406446 | Jessica Anne Blake | Nurse Practitioner | 11949 Q St, Omaha, NE 68137-3503 | 2020-01-21 |
| 1932576709 | Jessica Blake | Occupational Therapy Assistant | 339 E Maple St, North Canton, OH 44720-2593 | 2015-08-28 |
| 1477955755 | Jessica Blake | Registered Nurse | 15101 Glenwood Ave, Stanley, KS 66223 | 2014-09-18 |
| 1013142991 | Jessica Blake | Social Worker | 3100 E Ave Nw, Suite 101, Cedar Rapids, IA 52405-2962 | 2009-05-21 |
| 1033394226 | Jessica Ann Banet Blake | Nurse Practitioner | 200 Abraham Flexner Way, Louisville, KY 40202-1886 | 2008-01-07 |
| Street Address |
19670 STATE ROAD 120 |
| City | BRISTOL |
| State | IN |
| Zip Code | 46507-9131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184777997 | Adec Inc | Day Training, Developmentally Disabled Services | 19670 State Road 120, Bristol, IN 46507-9131 | 2007-01-18 |
| 1427342468 | Adec Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19670 State Road 120, Bristol, IN 46507-9131 | 2011-06-07 |
| 1669761466 | Adec Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19670 State Road 120, Bristol, IN 46507-9131 | 2011-04-01 |
| 1750670550 | Adec Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19670 State Road 120, Bristol, IN 46507-9131 | 2011-04-01 |
| 1023307014 | Adec Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19670 State Road 120, Bristol, IN 46507-0398 | 2011-03-31 |
| 1114216108 | Adec Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19670 State Road 120, Bristol, IN 46507-0398 | 2011-03-31 |
| 1982879474 | Adec Inc | Community Based Residential Treatment Facility, Mental Illness | 19670 State Road 120, Bristol, IN 46507-0398 | 2008-04-25 |
| 1558544304 | Adec Inc | Day Training, Developmentally Disabled Services | 19670 State Road 120, Bristol, IN 46507-9131 | 2007-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275757643 | Adec - Village Men | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 19816 State Road 120 #3, Bristol, IN 46507 | 2007-04-13 |
| 1295839462 | Hardings Markets-west Inc | Pharmacy | 300 East Elkhart St, Bristol, IN 46507 | 2006-09-11 |
| 1831166362 | Daniel J Berger | Family Medicine | 304 E Vistula St, Bristol, IN 46507 | 2006-03-03 |
| 1346765146 | Mackenzie Shireman | Registered Nurse | 304 E Vistula St, Bristol, IN 46507 | 2017-08-14 |
| 1801825179 | Brenda H. Spence | Psychologist | 201 S. Division St., Bristol, IN 46507-0275 | 2006-06-30 |
| 1780756676 | David M Brilliandt | Dentist | 220 Bloomingdale, Bristol, IN 46507-8405 | 2006-11-15 |
| 1144517780 | Angel Dailey | Licensed Practical Nurse | 13350 Vistula Dr, Bristol, IN 46507-8511 | 2011-07-04 |
| 1669471884 | Regional Home Health Care Inc | Home Health | 3367 Bridgetown Rd, Bristol, IN 46507-8765 | 2005-07-19 |
| 1053552042 | Senior Mobility Incorporated | Non-emergency Medical Transport (VAN) | 9695 Old Port Cv, Bristol, IN 46507-8788 | 2009-03-20 |
| 1922521608 | Connie A Bronson | Nurse Practitioner | 55020 Colonial Ridge Dr, Bristol, IN 46507-8901 | 2017-07-25 |
| Find all providers in zip 46507 | ||||
| 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 |
|---|---|---|---|---|
| 1326661281 | Jessica Pennings | Speech-Language Pathologist | 100 Commonwealth Avenue Ext Ste 100, Bristol, VA 24201-7502 | 2020-05-26 |
| 1396395273 | Alana Greear | Speech-Language Pathologist | 14091 Sinking Creek Rd, Bristol, VA 24202-4803 | 2019-09-12 |
| 1366006215 | Teresa Lynn Floyd | Speech-Language Pathologist | 46 Byfield St, Bristol, RI 02809-2218 | 2019-04-25 |
| 1699234716 | Vanessa Ruiz Sutherland | Speech-Language Pathologist | Stonewall Jackson Elementary School, 2045 Euclid Ave, Bristol, VA 24201 | 2019-03-18 |
| 1669948519 | Jessica P. Brown | Speech-Language Pathologist | 4350 Gate City Hwy, Bristol, VA 24202-1204 | 2018-10-18 |
| 1831606789 | Peggy Diane Anderson | Speech-Language Pathologist | 23 Hunt St, Bristol, IL 60512-2003 | 2018-01-01 |
| 1962916551 | Communication Station & Consulting, LLC | Speech-Language Pathologist | 10659 Nw State Road 20, Bristol, FL 32321-3441 | 2017-11-19 |
| 1841655289 | Michelle S. Davis | Speech-Language Pathologist | 220 Airport Drive, Mt. Abraham Union Middle/high School, Bristol, VT 05443 | 2015-12-30 |
| 1457736282 | Rachael Janes | Speech-Language Pathologist | 617 Ash St, Bristol, TN 37620-2421 | 2015-07-22 |
| 1538552187 | Meghan Leigh Charest | Speech-Language Pathologist | 7 Etelvina Ct, Bristol, RI 02809-4572 | 2015-03-06 |
| Find all providers in BRISTOL | ||||
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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.