Alyssa Castanon, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000872 Issued in MI

Practice address

1111 Teneyck St Ste 200
Jackson, MI 49201-2486

Phone

(517) 205-1468

NPI assigned

May 17, 2020

Last updated

Mar 10, 2023By 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

Other names 1

• Alyssa Blackmer Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: acastanon757447@direct.hfhs.org

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.

• Henry Ford Health System

  • Audiologist
  • Detroit, MI
  • NPI 1699851618
  Medicare reassignment NPD
• Wa Foote Memorial Hospital, Inc

  dba Henry Ford Allegiance Health

  • Audiologist
  • Jackson, MI
  • NPI 1811921968
  Medicare reassignment NPD
• Henry Ford Health System

  • Community/Retail Pharmacy
  • Plymouth, MI
  • NPI 1942931720
  NPD
• W.a. Foote Memorial Hospital, Inc

  dba Henry Ford Allegiance Health

  • Audiologist
  • Jackson, MI
  • NPI 1053858910
  NPD
• W.a. Foote Memorial Hospital, Inc

  dba Henry Ford Allegiance Health

  • Physician Assistant
  • Jackson, MI
  • NPI 1538606348
  NPD

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

{
    "created_epoch": "1589673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1356963920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 KEMLER RD",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488278931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 TENEYCK ST STE 200",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012486",
            "telephone_number": "517-205-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANON",
        "first_name": "ALYSSA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-17",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "BLACKMER",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cascades Orthopedic Rehabilitation Services
• Cascades Orthopedic Rehabilitation Services Inc
• Cascades Urology P.C.
• Chad Kenneth Case, M.S., P.A.-C
• Cassity Chiropractic Center LLC (Vernie J. Cassity)
• Emily Berniece Castillo, PA-C
• Rielyn Castle, PHARMD
• Catherine Hardwick LMSW LLC
• Catholic Charities of Jackson, Lenawee and Hillsdale Counties
• Staci Sue Cattaneo

• Audiologist in Jackson, MI
• Providers in Jackson, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.