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

Gina Lee Blackman, MSE, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1174379408

Gina Lee Blackman, MSE, CCC-SLP is a Qualified Speech Language Pathologist in Norfolk, Nebraska. Qualified in 2023, 3 years ago. Practices with Family Physical Therapy and Sports Center, a 37-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
3
Licensed in
NE
In the registry since
2024
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3901 W Norfolk Ave Ste P
Norfolk, NE 68701-4405
Phone: (402) 371-9026
Fax: (402) 371-0807
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2846 (NE)

Record details

NPI number1174379408
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSE , CCC-SLP
Sole proprietorNo
NPI enumeratedApril 26, 2024
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Family Physical Therapy And Sports Center — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Norfolk