JESSICA BLAKE (NPI# 1821501602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821501602 |
| Entity Type | Individual |
| Full Name | JESSICA BLAKE |
| Credential | MS |
| Practice Address |
9000 College St Collinsville IL 62234-1701 |
| Practice Telephone | 6183466213 |
| Mailing Telephone | 6183466213 |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 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 |
| 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 |
| 1699940221 | Jessica Nicole Blake | Speech-Language Pathologist | 19670 State Road 120, Bristol, IN 46507-9131 | 2008-04-24 |
| 1033394226 | Jessica Ann Banet Blake | Nurse Practitioner | 200 Abraham Flexner Way, Louisville, KY 40202-1886 | 2008-01-07 |
| Street Address |
9000 COLLEGE ST |
| City | COLLINSVILLE |
| State | IL |
| Zip Code | 62234-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791005 | Kendall Kotter | Pharmacist | 401 Beltline Rd, Collinsville, IL 62234 | 2020-08-18 |
| 1851804207 | Apex Physical Therapy, LLC | Clinic/Center | 1095 Beltine Rd., Ste. 400, Collinsville, IL 62234 | 2017-11-08 |
| 1205361110 | Pc Associates, LLC | Family Medicine | 1095 Beltline Road, Suite 500, Collinsville, IL 62234 | 2017-04-28 |
| 1538405451 | Joan M Polwort | Pharmacist | 801 Braidwood Ct, Collinsville, IL 62234 | 2012-12-20 |
| 1275818080 | Stephen Scott Branding | Pharmacist | 401 Beltline Rd., Collinsville, IL 62234 | 2011-10-13 |
| 1447534417 | Lindsay Eakin | Pharmacist | 401 Beltline, Collinsville, IL 62234 | 2011-10-07 |
| 1700171568 | Patrick Joseph Swierczek | Social Worker | 820 St. Louis Rd Apt#232, Collinsville, IL 62234 | 2011-06-09 |
| 1366670887 | Susan M. Smith Dc LLC | Chiropractor | 226 South Morrison, Collinsville, IL 62234 | 2009-06-23 |
| 1649418492 | Lynette M Patton | Counselor | 415 W Main St Ste 3, Collinsville, IL 62234 | 2009-02-02 |
| 1558506626 | Kimberly Jean Miller | Counselor | Meadow Heights Professional Park, Suite 2b, Collinsvile, IL 62234 | 2008-12-03 |
| Find all providers in zip 62234 | ||||
| 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 |
|---|---|---|---|---|
| 1669073912 | Meghan Jacqueline Robitaille | Speech-Language Pathologist | 48 Dyer Ave, Collinsville, CT 06019-3028 | 2020-11-03 |
| 1548818024 | Laura O'hara | Speech-Language Pathologist | 123 W Clay St, Collinsville, IL 62234-3205 | 2019-08-28 |
| 1932691144 | Natalie Rae Sipole | Speech-Language Pathologist | 7211 Lebanon Rd, Collinsville, IL 62234-7513 | 2018-06-04 |
| 1033609409 | Anna Victoria Stewart | Speech-Language Pathologist | 11790 Pine Grove Rd, Collinsville, MS 39325 | 2018-05-11 |
| 1568977007 | Jane Clarkston | Speech-Language Pathologist | 1841 Vandalia St, Collinsville, IL 62234-4854 | 2017-12-06 |
| 1407213259 | Julie Menk | Speech-Language Pathologist | 68 N Valley Ave, Collinsville, AL 35961-3330 | 2016-01-25 |
| 1598022568 | Melissa Renee Walden | Speech-Language Pathologist | 1207 West Vandalia Avenue, Collinsville, IL 62234-4092 | 2012-04-16 |
| 1730464082 | Barbara Whitteberry Zachs | Speech-Language Pathologist | 64 Maple Ave, Collinsville, CT 06019-3035 | 2011-10-19 |
| 1790071538 | Lynda Compton Adkins | Speech-Language Pathologist | 271 Homestead Trl, Collinsville, VA 24078-3096 | 2011-06-20 |
| 1982856803 | Lisa R Cundall | Speech-Language Pathologist | 414 Hillside Dr, Collinsville, IL 62234-1349 | 2008-10-22 |
| Find all providers in COLLINSVILLE | ||||
| City | COLLINSVILLE |
| Zip Code | 62234 |
Please comment or provide details below to improve the information on JESSICA BLAKE.
| 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.