Brittany Blackwelder, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2887 Issued in MN

Practice address

16354 County Road 30
Maple Grove, MN 55311-1207

Phone

(763) 315-6571

Fax

(763) 315-6687

NPI assigned

Jul 2, 2021

Last updated

Jul 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: brittany.blackwelder@amplifon.com

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.

• Miracle Ear, Inc

  • Hearing Instrument Specialist
  • Burnsville, MN
  • NPI 1609001874
  NPD (past)

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1174194096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16354 COUNTY ROAD 30",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111207",
            "telephone_number": "763-315-6571",
            "fax_number": "763-315-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16354 COUNTY ROAD 30",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111207",
            "telephone_number": "763-315-6571",
            "fax_number": "763-315-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELDER",
        "first_name": "BRITTANY",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MN",
            "license": "2887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brittany.blackwelder@amplifon.com",
            "affiliation": "N",
            "address_1": "16354 County Road 30",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553111207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michaela Bird
• Nicole Birr
• Christie Bischel, MS CCC-SLP
• Ayan Hassan Bitow
• Melissa Gail Bjork
• Kayla Blanek, DDS
• Karine Blazovich, CCC-SLP
• Deborah Kay Blomstrom, RPH
• Blooming Wellness Chiropractic LLC
• Blue Ridge Dental Center PA

• Hearing Instrument Specialist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Hearing Instrument Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.