Carol C Black, SPECIALIST

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

515 Issued in TN

Practice address

705 Professional Plaza Dr
Suite 3
Greeneville, TN 37745-5196

Phone

(423) 638-4158

Fax

(423) 638-4158

NPI assigned

Jun 19, 2008

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Professional Hearing Aid Ctr

  • Hearing Aid Equipment
  • Greenville, TN
  • NPI 1275779555
  NPD (past) Authorized official

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1962663294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 PROFESSIONAL PLAZA DR",
            "address_2": "SUITE 3",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455196",
            "telephone_number": "423-638-4158",
            "fax_number": "423-638-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 PROFESSIONAL PLAZA DR",
            "address_2": "SUITE 3",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455196",
            "telephone_number": "423-638-4158",
            "fax_number": "423-638-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "CAROL",
        "middle_name": "C",
        "credential": "SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TN",
            "license": "515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TENNESSEE",
            "identifier": "0184409",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall Blake Bible, NP
• Christina L Birchfield, FNP-C
• Patricia G Bird, OTR/L
• Charles Thomas Birdwell
• Virginia A Bishop, LD
• Allie Blackwell, RN, FNP-BC
• BLC Wellington - Greeneville TN, LLC
• Blue Ridge Family Medical Practice
• Blue Ridge Medical Management C Orporation
• Blue Ridge Medical Management Corporation

• All providers in Greeneville, TN
• Hearing Instrument Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.