Amanda Moore Blaszczynski, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

868A Issued in AL

Practice address

417 S 4TH St
Gadsden, AL 35901-5212

Phone

(256) 543-8899

Fax

(256) 543-8002

NPI assigned

Aug 25, 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 2

Medicare fee-for-service enrollment

Enrolled in AL

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.

• Audiology Services Company USA, LLC

  • Hearing and Speech Clinic/Center
  • Somerset, NJ
  • NPI 1033585302

  AL, Audiologist

  Medicare reassignment NPD
• Audiology Services Company USA, LLC

  • Hearing and Speech Clinic/Center
  • Melbourne, FL
  • NPI 1902318108
  NPD

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1700994480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1399",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359021399",
            "telephone_number": "256-543-8899",
            "fax_number": "256-543-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015212",
            "telephone_number": "256-543-8899",
            "fax_number": "256-543-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASZCZYNSKI",
        "first_name": "AMANDA",
        "middle_name": "MOORE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "868A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051550822",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051509639",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Birmingham Vamc
• David A Bishop, P.T.
• Jennifer Lynne Blackerby, CRNP
• Stephen Few Blackstock, MD
• Thresia Lynn Blankenship, CRNA
• Kelly A Blount, O.D.
• Meredith Bobbitt, OD
• Olga L Bogdanova, MD
• Jay Chester Bolton III
• Leasil Hill Bone, DPT

• Audiologist in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Audiologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.