Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730588401 Individual Practitioner Female Practitioner

Jamie Lynn Blanchard Lassiter , MA, CCC-SLP

Speech-Language Pathologist • Eglin Afb, FL

Professional Overview & Biography Verified Profile Summary

Jamie Lassiter, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Eglin Afb, FL. Practice services are available at 307 BOATNER RD STE 114 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

Telephone 8609303290
Associated Practice Facility / Clinic
🏢 96th Medgrp-Eglin Facility NPI 1083012223

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Eglin Afb, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Eglin Afb, FL (11640 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: 2025-06-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA17631

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License None 14050904

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Lucas Petkewitz , DPT

Physical Therapist

NPI 1003228057

Doctor of Physical Therapy

James Saxton

Anesthesiology

NPI 1003435538
Dr. Boden Port , DO

General Practice

NPI 1003519919

Doctor of Osteopathic Medicine (D.O.)

NPI 1013087873

Doctor of Osteopathic Medicine (D.O.)

Dr. Anjeli Pope , MD

Internal Medicine

NPI 1013199181

Doctor of Medicine (M.D.)

Dr. Eric Weiss , MD

General Practice

NPI 1013370444

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
👤
Provider Name / Credentials Updated June 30, 2025

Recorded as JAMIE LASSITER, M.A., CCC-SLP

📍
Updated Practice Location February 02, 2024

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8609303290)

📍
Updated Business Mailing Address February 02, 2024

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302

👤
Provider Name / Credentials Updated February 02, 2024

Recorded as JAMIE BLANCHARD, CCC-SLP

📍
Updated Practice Location March 23, 2023

Registered at 3575 SAILFISH DR, GULF BREEZE, FL 325638974 (Tel: 8609303290)

📍
Updated Business Mailing Address March 23, 2023

Registered at 3575 SAILFISH DR, GULF BREEZE, FL 325638974 (Tel: 8609303290)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2023

Speech-Language Pathologist (License #14050904 in None)

NPI Profile Active August 19, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2014

Registered at 132 ELLINGTON AVE, ELLINGTON, CT 060294321 (Tel: 8609303290)

📍
Updated Business Mailing Address August 19, 2014

Registered at 132 ELLINGTON AVE, ELLINGTON, CT 060294321 (Tel: 8609303290)

👤
Provider Name / Credentials Updated August 19, 2014

Recorded as JAMIE BLANCHARD, CFY-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2014

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration August 19, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1730588401
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2014
Last Update: June 30, 2025
Sole Proprietor: Yes

Mailing Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

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.