Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972479681 Individual Practitioner Female Practitioner

Annie Nguyen Blakely , MS, CCC-SLP

Speech-Language Pathologist • San Jose, CA

Professional Overview & Biography Verified Profile Summary

Annie Blakely, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in San Jose, CA. Practice services are available at 955 LINCOLN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

955 Lincoln Ave

San Jose, CA 951263711

Telephone 6692503317

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in San Jose, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.6 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
299 Specialists

Practicing in San Jose, CA (13280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-11
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 24599

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 11, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2025

Registered at 955 LINCOLN AVE, SAN JOSE, CA 951263711 (Tel: 6692503317)

📍
Updated Business Mailing Address October 11, 2025

Registered at 955 LINCOLN AVE APT A, SAN JOSE, CA 951263711 (Tel: 6692503317)

👤
Provider Name / Credentials Updated October 11, 2025

Recorded as ANNIE BLAKELY, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2025

Speech-Language Pathologist (License #24599 in CA)

🟢
Initial NPI Registration & Enumeration October 11, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Annie Blakely. Be the first to share your experience!

Sign in to leave a review for Annie Blakely

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1972479681
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2025
Last Update: October 11, 2025
Sole Proprietor: Yes

Mailing Address

955 Lincoln Ave Apt A

San Jose, CA 951263711

Phone: 6692503317

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.