SHANNON BLACKSTONE (NPI# 1164732616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164732616 |
| Entity Type | Individual |
| Full Name | SHANNON BLACKSTONE |
| Practice Address |
33 Percy St Apt B Charleston SC 29403-5957 |
| Mailing Address |
221 Stallsville Rd Summerville SC 29485-4934 |
| Practice Telephone | 8032128971 |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2019-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | 4673 | SC | Speech, Language and Hearing Service Providers |
| Street Address |
33 PERCY ST APT B |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29403-5957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780210674 | Samantha Barretta | Behavior Technician | 530 Meeting St, Apt 409, Charleston, SC 29403 | 2020-03-23 |
| 1114497435 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 10 Westedge St, Suite 100, Charleston, SC 29403 | 2018-11-29 |
| 1194266072 | Ashley Rogers Albrecht | Dentist | 29 Bee St, Fourth Floor, Charleston, SC 29403 | 2017-03-13 |
| 1427467307 | Valerie Nicole Garilas | Pharmacist | 1400 Woodruff Road, Greenville, SC 29403 | 2014-08-05 |
| 1467883645 | Disabilities Board of Charleston County | Case Management | 995 Morrison Drive, Suite 100, Charleston, SC 29403 | 2013-12-12 |
| 1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
| 1205171964 | Brian Sherman | Psychologist | 26a Bee St., Charleston, SC 29403 | 2012-12-06 |
| 1710291455 | Linda Ramsey Bright | Clinical Nurse Specialist | 103 Bee Street, Charleston, SC 29403 | 2010-08-05 |
| 1598990442 | Colleen Lehn Degeorge | Social Worker | 198 Rutledge Avenue, Suite 8, Charleston, SC 29403 | 2009-05-21 |
| 1164618815 | Diane Andrews | Speech-Language Pathologist | Musc Speech Language Pathology, 169 Ashley Ave Msc 335, Charleston, SC 29403 | 2007-09-17 |
| Find all providers in zip 29403 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376160465 | Nicole Ritter | Audiologist | 135 Rutledge Ave # 216, Charleston, SC 29425-8903 | 2020-07-06 |
| 1437326295 | Mickra Hamilton King | Audiologist | 1679 Coonskin Dr, 130th Medical Group, Charleston, WV 25311-1023 | 2008-05-12 |
| 1760608152 | Audiology and Hearing Aid Services, Inc | Audiologist | 2205 Washington St E, Charleston, WV 25311-2218 | 2007-04-17 |
| 1740325950 | Simmerman Hearing and Speech Associates Inc | Audiologist | 1105 Fledderjohn Rd, Charleston, WV 25314-4204 | 2007-02-21 |
| 1669511853 | Gregory Alan Simmerman | Audiologist | 1105 Fledderjohn Road, Charleston, WV 25314 | 2007-02-05 |
| 1629149455 | Advanced Professional Hearing Aid Services Inc | Audiologist | 318 Lee St W, Suite 201, Charleston, WV 25302-2136 | 2006-11-13 |
| 1659467645 | Mary S Manahan | Audiologist | 4408 Maccorkle Ave Se, Charleston, WV 25304-2506 | 2006-10-05 |
| 1881658367 | Jennifer P Davis | Audiologist | 318 Lee St W Ste 201, Charleston, WV 25302-2136 | 2006-04-13 |
| 1689292252 | Lauren Lynne Costello | Audiologist | 135 Rutledge Ave, Charleston, SC 29425-8903 | 2020-07-10 |
| 1770100075 | Allyson Lambert | Audiologist | 216 Leon Sullivan Way, Charleston, WV 25301-2409 | 2020-07-02 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29403 |
Please comment or provide details below to improve the information on SHANNON BLACKSTONE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.