Ashley R Blake, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

A.01787 Issued in 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

Last updated

Feb 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley R Blake Former name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Audiology Services Company USA, LLC

  dba Hearinglife

  • Hearing and Speech Clinic/Center
  • Somerset, NJ
  • NPI 1033585302

  OH

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1124464409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 MIFFLIN AVE",
            "address_2": "SUITE 130",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448058848",
            "telephone_number": "419-289-8919",
            "fax_number": "419-289-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 MIFFLIN AVE",
            "address_2": "SUITE 130",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448058848",
            "telephone_number": "419-289-8919",
            "fax_number": "419-289-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "ASHLEY",
        "middle_name": "R",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": "A.01787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BLAKE",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason Allen Bishop, MSN, APRN, FNP-C
• Makenna R Bivens
• Lynda Jo Black
• Steven R Black
• Jennifer Elizabeth Blagg
• Tanya Blough, RN
• Blue Line Renovations Inc
• Jennifer Marie Boerwinkle, LSW
• Bernadette E Bogner, PA-C
• Anita A. Bojtos, MD

• Audiologist-Hearing Aid Fitter in Ashland, OH
• Providers in Ashland, OH by specialty
• Audiologist-Hearing Aid Fitter in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.