Lisa Andrea Blackman, MA CCC-A

Primary specialty

Assistive Technology Supplier AudiologistTaxonomy code 231HA2500X

License

AT000105L Issued in PA

Practice address

1900 Rittenhouse SQ
C-1
Philadelphia, PA 19103-5767

Phone

(215) 985-4964

Fax

(215) 985-1678

NPI assigned

Jul 12, 2006

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 PA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• A Hearing Healthcare Center Inc.

  • Hearing Aid Equipment
  • Philadelphia, PA
  • NPI 1194787895

  PA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700801933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 RITTENHOUSE SQ",
            "address_2": "C-1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035767",
            "telephone_number": "215-985-4964",
            "fax_number": "215-985-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RITTENHOUSE SQ",
            "address_2": "C-1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035767",
            "telephone_number": "215-985-4964",
            "fax_number": "215-985-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "LISA",
        "middle_name": "ANDREA",
        "credential": "MA CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "PA",
            "license": "AT000105L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY LICENSE",
            "identifier": "AT000105L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Rose Black
• Kelsey Blackburn
• Matthew Taylor Blackburn
• Simone Blackburn
• Nina A Blackhurst, D.M.D.
• Michael Nobles Blackman
• Rachel Blackman
• Ryan Graham Blackman, D.O.
• Samuel Charles Blackman, MD, PHD
• Khary Blackmon, M.S

• All providers in Philadelphia, PA
• Assistive Technology Supplier Audiologist in Pennsylvania

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.