Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anna Lee Blazer

Individual provider Speech-Language Pathologist · NPI 1780417378

Anna Lee Blazer is a Qualified Speech Language Pathologist in Wilmington, North Carolina. Qualified in 2024, 2 years ago. Practices with Ivyrehab North Carolina LLC, a 154-clinician group and accepts Medicare assignment. Licensed in Maryland and North Carolina.

Years since qualifying
2
Licensed in
MD, NC
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

3901 Wrightsville Ave Ste 120
Wilmington, NC 28403-6256
Phone: (910) 679-8385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 30004553 (NC)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 11624 (MD)

Record details

NPI number1780417378
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2024
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026
Mailing address3901 Wrightsville Ave Ste 120, Wilmington, NC 28403-6256

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ivyrehab North Carolina Llc — 154 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilmington