Jenny Blanco-Doe, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

6218 Issued in NC

Practice address

2053 Valleygate Dr
Suite 101
Fayetteville, NC 28304-3688

Phone

(910) 323-9222

Fax

(910) 221-9220

NPI assigned

Apr 4, 2006

Last updated

May 16, 2008By 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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doss Audiology and Hearing Center, PLLCGroup PAC ID 0244478451, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Doss Audiology & Hearing Center, PLLC

  • Audiologist
  • Schertz, TX
  • NPI 1053652206
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1881656932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 VALLEYGATE DR",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043688",
            "telephone_number": "910-323-9222",
            "fax_number": "910-221-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 VALLEYGATE DR",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043688",
            "telephone_number": "910-323-9222",
            "fax_number": "910-221-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO-DOE",
        "first_name": "JENNY",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "6218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001503",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Patricia Bladon, PA-C
• Josey Blagg
• Brooke Nicole Blair
• Michael Blair, MA
• Timothy P Blair, MD
• Nashaly Blanco
• Swany Blanco, COUNSELOR
• Ronita Jovette Bland
• Sherry Bland
• Michelle Loquitta Blanding

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.