Erin L. Blackburn, AU.D.
Individual provider Active NPI Audiologist · Chapel Hill, NC
NPI 1043485204 · NPPES record last updated Jul 9, 2014
Key facts
- NPI
- 1043485204
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 6528 (NC)
- Practice address
- 55 Vilcom Center Dr
Chapel Hill, NC 27514 - Phone
- (919) 942-7278
- NPI assigned
- Apr 28, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080814000641 | NC | Practitioner - Qualified Audiologist | 7810062536 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6528 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Health System, Inc. | Current |
Accepting new patients | |
| Duke Health Integrated Practice, Inc. | Current |
Accepting new patients | |
| Duke University Health System, Inc. | Current |
Accepting new patients | |
| Duke University Health System, Inc. | Current |
Accepting new patients |
Locations
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
234 Crooked Creek Pkwy
Ste 500
Durham, NC 27713
Phone (919) 385-5300
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
3480 Wake Forest Rd
Ste 404
Raleigh, NC 27609
Phone (919) 684-3834
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 6528 | NC | Yes |
Addresses
Primary practice location
55 Vilcom Center Dr
Chapel Hill, NC 27514
Mailing address
55 Vilcom Center Dr
Chapel Hill, NC 27514-1689
Phone (919) 942-7278
Other providers in Chapel Hill, NC
- Jessica Lurie Bizan
- Hannah Black
- Kenneth Mason Black
- Allison Blackburn
- Andrea Mary Blackburn
- Jonathan T Blackburn
- Samuel Neal Blacker
- Floriece Graham Blackmon
- Megan Danielle Blackstock
- Sandra Lowe Blackwood
All providers in Chapel Hill, NC · Audiologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.