Active NPI
Courtney Lawson Blankenship, AUD
- Audiologist
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 30002441
- Practice address
- 6316 Old Oak Ridge Rd Ste a
Greensboro, NC 27410-9940 - Phone
- (336) 617-3025
- NPI assigned
- Sep 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD.0001188 | CO | |
| Audiologist | 231H00000X | 30002441 | NC | Primary |
Addresses
Primary practice location
6316 Old Oak Ridge Rd Ste a
Greensboro, NC 27410-9940
Mailing address
6316 Old Oak Ridge Rd Ste a
Greensboro, NC 27410-9940
Phone (336) 617-3025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200929001236 | NC | Practitioner - Qualified Audiologist | 2163841990 | |
| I20240717004769 | KY | Practitioner - Qualified Audiologist | 2163841990 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Southeast Kentucky Audiology Services Inc.
Practice addresses (Care Compare)
200 Allison Blvd
Corbin, KY 40701-2744
200 Allison Blvd
Corbin, KY 40701-7964
Phone (606) 528-9993
445 S Hwy 27
Suite 100
Corbin, KY 40701-2744
Phone (606) 528-9993
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD.0001188 | CO | MD | Audiologist |
| 30002441 | NC | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Kentucky Audiology Services Inc. | Audiologist | Current | Accepting new patients |
| Cape Fear Otolaryngology, PA | Current | Accepting new patients | |
| Colorado Springs Ear Associates | Past | Accepting new patients | |
| All Generations Audiology, PLLC | Audiologist | Past | Accepting new patients |
Locations
200 Allison Blvd
Corbin, KY 40701
Phone (606) 528-9993
112 Hardin Ln
Somerset, KY 42503
Phone (606) 492-2740
2053 Valleygate Dr
Ste 101
Fayetteville, NC 28304
Phone (910) 323-9222
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Corbin, KY
- NPI 1073795944
Audiologist, KY
-
- Specialist
- Cumberland, NC
- NPI 1851354260
-
- Audiologist
- Mooresville, NC
- NPI 1245692920
-
- Otology & Neurotology Physician
- Colorado Springs, CO
- NPI 1174746853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1053925354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6316 OLD OAK RIDGE RD STE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274109940",
"telephone_number": "336-617-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6316 OLD OAK RIDGE RD STE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274109940",
"telephone_number": "336-617-3025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANKENSHIP",
"first_name": "COURTNEY",
"middle_name": "LAWSON",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-03",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CO",
"license": "AUD.0001188",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "30002441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.