Kelly Black, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

Practice address

2902 Bienville Blvd Ste 7
Ocean Springs, MS 39564-4358

Phone

(228) 818-9555

Fax

(228) 875-7493

NPI assigned

Aug 8, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1992488985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 BIENVILLE BLVD STE 7",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644358",
            "telephone_number": "228-818-9555",
            "fax_number": "228-875-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 BIENVILLE BLVD STE 7",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644358",
            "telephone_number": "228-818-9555",
            "fax_number": "228-875-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "KELLY",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Billman
• Biloxi OBGYN Clinic, PA
• Laci Marie Bishop, PA
• Stephanie Sowell Bishop, OT
• Jason L. Black, M.D.
• Angela Rene Blackman
• Shelby Marie Blades
• Kristen Blair, NP
• Alexander Drake Blevens, M.D.
• BMD Enterprises, Inc.

• All providers in Ocean Springs, MS
• Hearing Instrument Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.