DR. STACI BLACKWELL (NPI# 1356516033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356516033 |
| Entity Type | Individual |
| Full Name | DR. STACI BLACKWELL |
| Credential | AU.D. |
| Practice Address |
125 Baldwin Ave Ste 100 Charlotte NC 28204-3370 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043161900 |
| Practice Fax Number | 7043845453 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2020-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 7282 | NC | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 1166 | NC | Speech, Language and Hearing Service Providers |
| Street Address |
125 BALDWIN AVE STE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-3370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558444554 | Michelle L. Podboreski Finnin | Audiologist | 125 Baldwin Ave Ste 100, Charlotte, NC 28204-3370 | 2006-10-23 |
| 1699244988 | Gretchen Platt-koch | Physical Therapist | 125 Baldwin Ave Ste 100, Charlotte, NC 28204-3370 | 2018-11-16 |
| 1063776003 | Cari Ann El Sheshai | Audiologist | 125 Baldwin Ave Ste 100, Charlotte, NC 28204 | 2012-06-25 |
| 1497907422 | Brianne Marie Kurcsak | Occupational Therapist | 125 Baldwin Ave Ste 100, Charlotte, NC 28204-3370 | 2008-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| 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 |
|---|---|---|---|---|
| 1972145399 | Courtney Marie Palmiere | Audiologist | 6414 Rea Rd Ste C, Charlotte, NC 28277-3877 | 2019-10-17 |
| 1144590407 | Melissa Karp | Audiologist | 11121 Carmel Commons Blvd, Suite 150, Charlotte, NC 28226 | 2012-01-04 |
| 1124265962 | Anya C Symmonett | Audiologist | 401 E 9th St, Audiology, Charlotte, NC 28202-2533 | 2009-01-15 |
| 1316119555 | Marybeth Scherer Conrad | Audiologist | 302 Lillington Avenue, Charlotte, NC 28211-5400 | 2008-03-27 |
| 1871762666 | Tracey Chapin Krumel | Audiologist | 2711 Randolph Rd Ste 307, Charlotte, NC 28207-2027 | 2008-02-26 |
| 1346449857 | James Wade Kirkland | Audiologist | 3535 Randolph Rd Ste 211, Charlotte, NC 28211-1086 | 2007-07-13 |
| 1356554497 | Alena A Freeman | Audiologist | 11905 John K Hall Way, Charlotte, NC 28277-2855 | 2007-05-07 |
| 1558444554 | Michelle L. Podboreski Finnin | Audiologist | 125 Baldwin Ave Ste 100, Charlotte, NC 28204-3370 | 2006-10-23 |
| 1710070974 | Charlotte Audiology Services | Audiologist | 1928 Randolph Rd Ste 100, Charlotte, NC 28207-1105 | 2006-10-02 |
| 1316911639 | Christina Seaborg | Audiologist | 3601 Carmel Forest Dr, Charlotte, NC 28226-8115 | 2006-02-14 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on DR. STACI BLACKWELL.
| 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.