MR. MICHAEL TODD BLACKBURN M.A., CCC-SLP
NPI 1114277662
Speech-Language Pathologist in Auburn, WA

NPI Status: Active since September 12, 2012

Contact Information

502 4TH ST NE
AUBURN, WA
ZIP 98002
Phone: (253) 931-4927
Fax: (253) 931-4742

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  • Individual
  • Male
  • Speech-Language Pathologist

About MICHAEL BLACKBURN

This page provides the complete NPI Profile along with additional information for Michael Blackburn, a provider established in Auburn, Washington with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1114277662 assigned on September 2012. The practitioner's primary taxonomy code is 235Z00000X with license number 415854R (WA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1114277662
Provider Name
MR. MICHAEL TODD BLACKBURN M.A., CCC-SLP
Gender
Male
Entity Type
Individual
Location Address
502 4TH ST NE AUBURN, WA 98002
Location Phone
(253) 931-4927
Location Fax
(253) 931-4742
Mailing Address
502 4TH ST NE AUBURN, WA 98002
Mailing Phone
(253) 931-4927
Mailing Fax
(253) 931-4742
Is Sole Proprietor?
No
Enumeration Date
09-12-2012
Last Update Date
09-12-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
License No.
415854R
License State
WA
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1114277662
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21244714612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 4 + 7 + 1 + 4 + 6 + 1 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1114277662 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811247364 KATARINA JUNELL
Individual
Speech-Language Pathologist502 4TH ST NE
AUBURN, WA 98002
(253) 931-4927
1770833220MRS. LESLIE RICHELLE FRAZIER MS, CCC-SLP, MED
Individual
Speech-Language Pathologist502 4TH ST NE AUBURN STUDENT SPECIAL SERVICES ANNEX
AUBURN, WA 98002
(253) 931-4927
1285984740MS. CONNIE TODD MANDLER M.S., CCC-SLP
Individual
Speech-Language Pathologist502 4TH ST NE
AUBURN, WA 98002
(250) 931-4927
1245580448 MONICA CLARK OTR/L
Individual
Occupational Therapist502 4TH ST NE
AUBURN, WA 98002
(253) 931-4927
1225388200 MELISA K ZALDIVAR MS, PT
Individual
Physical Therapist (Pediatrics)502 4TH ST NE
AUBURN, WA 98002
(253) 931-4927
1558612275MR. DELLA JILL PETRIE 0C 00000364
Individual
Specialist502 4TH ST NE
AUBURN, WA 98002
(253) 931-4927
1659622306 SHERYL GABRIELE
Individual
Occupational Therapy Assistant502 4TH ST NE
AUBURN, WA 98002
(253) 931-4927
1063763381 ROBIN JO RITTER COTA/L
Individual
Occupational Therapist502 4TH ST NE
AUBURN, WA 98002
(253) 931-4927
1114278207 TAMARA LEITZKE
Individual
Occupational Therapist (Pediatrics)502 4TH ST NE
AUBURN, WA 98002
(253) 931-4927
1891048310 JENNIFER SONNEN CPTA
Individual
Physical Therapy Assistant502 4TH ST NE
AUBURN, WA 98002
(253) 931-4927
1598009581MISS AREESA QURAISHI
Individual
Speech-Language Pathologist502 4TH ST NE
AUBURN, WA 98002
(253) 931-4978
1932537222MS. RACHELLE SAMS MS, CCC-SLP
Individual
Speech-Language Pathologist502 4TH ST NE
AUBURN, WA 98002
(253) 931-4927
1528437803 NINA ALDERETE SLP LICENSE
Individual
Speech-Language Pathologist502 4TH ST NE
AUBURN, WA 98002
(253) 931-4927
1669991030MRS. LISA NEHREN OTR/L
Individual
Occupational Therapist502 4TH ST NE
AUBURN, WA 98002
(253) 931-4927
1972012086 HANNAH MEGRAN COTA
Individual
Occupational Therapy Assistant502 4TH ST NE
AUBURN, WA 98002
(253) 931-4927
1801307855MS. LINDA JOY DARLING MA, CCC-SLP
Individual
Speech-Language Pathologist502 4TH ST NE
AUBURN, WA 98002
(253) 931-4927
1598811432 TAMERRA L INSLEE O.T.
Individual
Occupational Therapist502 4TH ST NE
AUBURN, WA 98002
(253) 931-4927
1255808002 VICKI LYNN WAGNER
Individual
Registered Nurse (School)502 4TH ST NE
AUBURN, WA 98002
(253) 931-4990
1255800413 TAMESHA MARQUIS RN
Individual
Registered Nurse502 4TH ST NE
AUBURN, WA 98002
(253) 931-4742
1891264941MRS. KANDICE VALERIE LLERA RN
Individual
Registered Nurse (School)502 4TH ST NE
AUBURN, WA 98002
(253) 931-4927

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114277662, enumerated in the NPI registry as an "individual" on September 12, 2012

The provider is located at 502 4th St Ne Auburn, Wa 98002 and the phone number is (253) 931-4927

The provider's speciality is Speech-Language Pathologist with taxonomy code 235Z00000X

This NPI record was last updated on September 12, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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