Blue Ridge Hearing Care, LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

5333 Issued in NC

Legal business name

BLUE RIDGE HEARING CARE, LLC

Practice address

510 Fleming St Ste D
Hendersonville, NC 28739-4250

Phone

(828) 696-2006

NPI assigned

Jun 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Joseph Patterson Clark, M.A., CCC-ANPI 1437354842

Title

Audiologist, Owner

Phone

(828) 696-2006

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Blue Ridge Hearing Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Patterson Clark, M.A., CCC-A

  • Audiologist
  • Hendersonville, NC
  • NPI 1437354842
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1790980100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 FLEMING ST STE D",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394250",
            "telephone_number": "828-696-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 FLEMING ST STE D",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394250",
            "telephone_number": "828-696-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE HEARING CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PATTERSON",
        "authorized_official_title_or_position": "AUDIOLOGIST, OWNER",
        "authorized_official_telephone_number": "828-696-2006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "NC",
            "license": "5333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "14135",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge Hearing Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kendell Sierra Karissa Blunden

• Audiologist in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Audiologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.