DR. JENNY BLANCO-DOE (NPI# 1881656932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881656932 |
| Entity Type | Individual |
| Full Name | DR. JENNY BLANCO-DOE |
| Credential | AUD |
| Practice Address |
2053 Valleygate Dr Suite 101 Fayetteville NC 28304-3688 |
| Practice Telephone | 9103239222 |
| Practice Fax Number | 9102219220 |
| Mailing Telephone | 9103239222 |
| Mailing Fax Number | 9102219220 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2008-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 6218 | NC | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7001503 | 05 |
| Street Address |
2053 VALLEYGATE DR SUITE 101 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255323176 | Andrea Karen Dickerson | Obstetrics & Gynecology | 2053 Valleygate Dr, Ste. 201, Fayetteville, NC 28304-3688 | 2005-08-17 |
| 1770777336 | Camile Marsh Andrews | Obstetrics & Gynecology | 2053 Valleygate Dr, Ste 201, Fayetteville, NC 28304-3747 | 2007-08-28 |
| 1811192552 | Cape Fear Aesthetics LLC | Plastic Surgery | 2053 Valleygate Dr, Ste. 102, Fayetteville, NC 28304-3688 | 2007-06-20 |
| 1902958697 | Elena Terece Reynolds | Physician Assistant | 2053 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3747 | 2007-01-16 |
| 1730120916 | Purvi Manish Mehta | Physician Assistant | 2053 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3688 | 2006-06-09 |
| 1326006438 | A Womans Place In Fayetteville Pllc | Obstetrics & Gynecology | 2053 Valleygate Dr, Suite 201, Fayetteville, NC 28304-3688 | 2006-05-01 |
| 1114989266 | Alison C Delap | Audiologist | 2053 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3688 | 2006-04-04 |
| 1679544829 | Eric Lemoine Mansfield | Otolaryngology | 2053 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3688 | 2006-01-27 |
| 1376514521 | Edward Ernest Dickerson, Iv | Otolaryngology | 2053 Valleygate Dr, Suite 102, Fayetteville, NC 28304-3747 | 2006-01-27 |
| 1053303891 | Lakshmi Vadlamudi Gordon | Obstetrics & Gynecology | 2053 Valleygate Dr, Ste. 201, Fayetteville, NC 28304-3688 | 2005-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| 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 |
|---|---|---|---|---|
| 1114408226 | Tashia S Gadlin | Audiologist | 1179 N College Ave, Fayetteville, AR 72703-1955 | 2018-08-27 |
| 1841786506 | Rachel Garrette | Audiologist | 1260 Highway 54 W Ste 203, Fayetteville, GA 30214-4513 | 2018-07-06 |
| 1265950406 | Jordan Sgroi | Audiologist | 544 Towne Dr, Fayetteville, NY 13066-1331 | 2017-09-08 |
| 1881030732 | Dustin Matthew Richards | Audiologist | 2630 E Citizens Dr Ste 7, Fayetteville, AR 72703-4797 | 2013-05-20 |
| 1831465608 | Gn Hearing Care Corp | Audiologist | 4310 Medical Center Dr Ste 310, Fayetteville, NY 13066-6625 | 2012-03-27 |
| 1043523459 | Carolyn Hornberger Dunn | Audiologist | 1240 Highway 54 W Ste 710, Fayetteville, GA 30214-4565 | 2010-07-15 |
| 1043543788 | Byron Douglas Owens | Audiologist | 2508 Colgate Drive, Fayetteville, NC 28304-3709 | 2009-09-14 |
| 1619108982 | Iris Braswell Phillips | Audiologist | 7300 South Raeford Road, Fayetteville, NC 28304 | 2009-08-04 |
| 1346422284 | Tawnia Hope Smith | Audiologist | Cape Fear Valley Health System, 1638 Owen Dr., Fayetteville, NC 28302 | 2007-12-03 |
| 1972726578 | University of Arkansas | Audiologist | 606 N Razorback Rd, Fayetteville, AR 72701-3110 | 2007-04-11 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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| 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.