Individual provider Active NPI

Courtney Lawson Blankenship, AUD

  • Audiologist
  • Greensboro, NC
National Provider Identifier
1053925354
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
30002441 Issued in NC
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

Updated by the provider on Feb 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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.Group PAC ID 6709804289, 3 clinicians

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

LicenseStateTypeSpecialty
AUD.0001188COMDAudiologist
30002441NCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Kentucky Audiology Services Inc. Audiologist CurrentSince May 12, 2024 Accepting new patients
Cape Fear Otolaryngology, PA CurrentSince Aug 21, 2020 Accepting new patients
Colorado Springs Ear Associates PastSince Jun 1, 2023 Accepting new patients
All Generations Audiology, PLLC Audiologist PastSince Feb 18, 2024 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.

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.

Verify at the official NPI Registry.