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Deactivated NPI 1205112844 Deactivated / Inactive NPI Female Practitioner

Brandy Blank , MA, CCC-SLP

Speech-Language Pathologist • Memphis, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Brandy Blank has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 27, 2011
NPI Deactivation Date January 03, 2024
Total Practice Duration ~13 Years of Practice (2011 – 2024)

Professional Overview & Biography Verified Profile Summary

Brandy Blank, MA, CCC-SLP was a registered Speech-Language Pathologist practicing in Memphis, TN. Throughout an active medical career spanning 13 years, Brandy Blank provided care at the practice location at 6320 N QUAIL HOLLOW RD until profile deactivation on 2024-01-03.

Practice Location & Contact Primary Location

Practice Address

6320 N Quail Hollow Rd

Memphis, TN 381201420

Telephone 9017610021
Fax 9014325215
Associated Practice Facility / Clinic
🏢 Rehab At Your Place, Llc Facility NPI 1194868158

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.9 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
290 Specialists

Practicing in Memphis, TN (3778 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TN SP 0000002312

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

20 Associated Practitioners
Sigrid Lillegard , MS, CCC-SLP

Speech-Language Pathologist

NPI 1003527557

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Lakesha Gunn , OT

Occupational Therapist

NPI 1043555238

Occupational Therapist

Chrystal Buckner , CCC-SLP

Speech-Language Pathologist

NPI 1043768948

Speech-Language Pathologist (Certificate of Clinical Competence)

Nancy Somodevilla

Speech-Language Pathologist

NPI 1073786190
Jacqueline Bryson , OTR, L

Occupational Therapist - Pediatrics

NPI 1083897920

Occupational Therapist Registered, L

Kalyani Garde , MS OTR, L

Occupational Therapist

NPI 1114110657

MSOTR, L

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 03, 2024

Record deactivated on January 03, 2024

NPI Profile Active December 06, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 06, 2011

Registered at 6320 N QUAIL HOLLOW RD, MEMPHIS, TN 381201420 (Tel: 9017610021)

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Updated Business Mailing Address December 06, 2011

Registered at 2526 PARK CREEK CV N, GERMANTOWN, TN 381396559 (Tel: 9017370132)

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Provider Name / Credentials Updated December 06, 2011

Recorded as BRANDY BLANK, M.A.,CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2011

Speech-Language Pathologist (License #SP 0000002312 in TN)

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Initial NPI Registration & Enumeration October 27, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205112844
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2011
Last Update: December 06, 2011
Deactivation Date: January 03, 2024

Mailing Address

2526 Park Creek Cv N

Germantown, TN 381396559

Phone: 9017370132

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.