Ashley R Blake, AUD
Individual provider Active NPI Audiologist-Hearing Aid Fitter · Ashland, OH
NPI 1124464409 · NPPES record last updated Feb 3, 2020
Key facts
- NPI
- 1124464409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist-Hearing Aid Fitter 237600000X
- License
- A.01787 (OH)
- Practice address
- 2212 Mifflin Ave
Suite 130
Ashland, OH 44805-8848 - Phone
- (419) 289-8919
- Fax
- (419) 289-9563
- NPI assigned
- May 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130523000403 | OH | Practitioner - Qualified Audiologist | 2769620236 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | A.01787 | OH | Yes |
Addresses
Primary practice location
2212 Mifflin Ave
Suite 130
Ashland, OH 44805-8848
Mailing address
2212 Mifflin Ave
Suite 130
Ashland, OH 44805-8848
Phone (419) 289-8919
Other names
- Ashley R Blake
Other providers in Ashland, OH
- Heidi Joy Bird
- Jason Allen Bishop
- Lynda Jo Black
- Steven R Black
- Jennifer Elizabeth Blagg
- Tanya Blough
- Blue Line Renovations Inc
- Jennifer Marie Boerwinkle
- Bernadette E Bogner
- Anita A. Bojtos
All providers in Ashland, OH · Audiologist-Hearing Aid Fitter in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2020. 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.