Active NPI
Carol B. Black, M.S.
- Audiologist-Hearing Aid Fitter
- West View, PA
National Provider Identifier
1699862201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AT000256L
- Practice address
- 1100 1/2 Center Ave
West View, PA 15229-1636 - Phone
- (412) 931-9290
- Fax
- (412) 931-4413
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AT000256L | PA | Primary |
Addresses
Primary practice location
1100 1/2 Center Ave
West View, PA 15229-1636
Mailing address
1100 1/2 Center Ave
West View, PA 15229-1636
Phone (412) 931-9290
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11226988 | Other | PA | CAQH |
| 501421 | Other | PA | AETNA |
| 004972486221 | Other | PA | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT000256L | PA | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699862201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 1/2 CENTER AVE",
"city": "WEST VIEW",
"state": "PA",
"postal_code": "152291636",
"telephone_number": "412-931-9290",
"fax_number": "412-931-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 1/2 CENTER AVE",
"city": "WEST VIEW",
"state": "PA",
"postal_code": "152291636",
"telephone_number": "412-931-9290",
"fax_number": "412-931-4413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "CAROL",
"middle_name": "B.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "PA",
"license": "AT000256L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11226988",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "501421",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "004972486221",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West View, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.