Leah Nicole Blackwell, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Practice address

5356 Reynolds St Ste 505
Savannah, GA 31405-6017

Phone

(912) 356-1515

NPI assigned

May 12, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Candler ENT Practice, LLC

  dba Savannah ENT Specialist

  • Otolaryngology Physician
  • Savannah, GA
  • NPI 1477969749
  Medicare reassignment NPD
• Ear, Nose & Throat Associates of Savannah, PC

  • Otolaryngology Physician
  • Savannah, GA
  • NPI 1134322142
  Medicare reassignment NPD
• Ear, Nose & Throat Associates of Savannah, PC

  dba ENT Associates of Savannah

  • Otolaryngology Physician
  • Pooler, GA
  • NPI 1316338494
  NPD
• Ear, Nose & Throat Associates of Savannah, PC

  • Otolaryngology Physician
  • Richmond Hill, GA
  • NPI 1770739740
  NPD
• Georgia Ear Associates PC

  • Specialist
  • Savannah, GA
  • NPI 1316084122
  NPD (past)
• Ear, Nose & Throat Associates of Savannah, PC

  • Otolaryngology Physician
  • Bluffton, SC
  • NPI 1356757546
  NPD (past)

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1336886282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 E 68TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054709",
            "telephone_number": "912-351-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5356 REYNOLDS ST STE 505",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056017",
            "telephone_number": "912-356-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 Frederick St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314054501",
            "country_code": "US",
            "telephone_number": "912-351-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "803 E 68th St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314054709",
            "country_code": "US",
            "telephone_number": "912-351-3038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "LEAH",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AUD004324",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie A Black, LPN059617
• Andrea C Blackshear, LCSW, CACII, MAC
• Brandi Dawn Blackwell
• Bree Ellesse Blackwell, AUD
• Jack Thomas Blackwell Jr., MD
• Mark Blahove, MD
• Hallie Blair
• Blake Transit Solutions, LLC
• Mary Jo Christine Blakey, N.P.
• Cody Blanchard, MD

• Audiologist-Hearing Aid Fitter in Savannah, GA
• Providers in Savannah, GA by specialty
• Audiologist-Hearing Aid Fitter in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.