LISA ANDREA BLACKMAN (NPI# 1700801933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700801933 |
| Entity Type | Individual |
| Full Name | LISA ANDREA BLACKMAN |
| Credential | MA CCC-A |
| Practice Address |
1900 Rittenhouse Sq C-1 Philadelphia PA 19103-5767 |
| Practice Telephone | 2159854964 |
| Practice Fax Number | 2159851678 |
| Mailing Telephone | 2159854964 |
| Mailing Fax Number | 2159851678 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231HA2500X |
Audiologist Specialization: Assistive Technology Supplier |
AT000105L | PA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AUDIOLOGY LICENSE | AT000105L | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255323838 | Lisa R Blackman | Psychologist | 314 Mdos/ Sgoh, 1090 Arnold Drive, Little Rock Afb, AR 72099-0001 | 2005-08-18 |
| 1346880473 | Lisa M. Blackman | Student in an Organized Health Care Education/Training Program | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-01-07 |
| 1699284646 | Lisa Ann Blackman | Registered Nurse | 6600 E Ben White Blvd, Austin, TX 78741-7537 | 2017-09-21 |
| 1285070045 | Lisa Blackman | Dietitian, Registered | 501 Rita Ln Ste 113, Arlington, TX 76014-2010 | 2013-05-20 |
| Street Address |
1900 RITTENHOUSE SQ C-1 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19103-5767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215932876 | Alexander Evan Ehrlich | Dermatology | 1900 Rittenhouse Sq, Philadelphia, PA 19103-5767 | 2005-06-20 |
| 1194787895 | A Hearing Healthcare Center Inc. | Hearing Aid Equipment | 1900 Rittenhouse Sq, Suite C-1, Philadelphia, PA 19103-5767 | 2006-04-06 |
| 1487655445 | Mallory Lynn Eisenman | Podiatrist | 1900 Rittenhouse Sq, Suite C3, Philadelphia, PA 19103-5767 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565431 | Allyson Caputa | Behavior Technician | 100 North 18th Street, Suite 300, Philadelphia, PA 19103 | 2020-10-13 |
| 1063062685 | Sarah Seeling | Social Worker | 255 South 17th Street Suite 1010, Suite 1500, Suite 23, Philadelphia, PA 19103 | 2019-09-16 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1932761863 | Barclay Prescription Pharmacy | Pharmacist | 1736 Spruce St, Phila, PA 19103 | 2019-07-01 |
| 1265910459 | Whitney Sue Fricke | Counselor | 2211 Locust St, Philadelphia, PA 19103 | 2018-07-31 |
| 1740784586 | Sara Elizabeth Macintyre | Speech-Language Pathologist | 1845 Walnut Street Suite 1540, Philadelphia, PA 19103 | 2018-03-19 |
| 1326578907 | Danielle D Bercovitch | Speech-Language Pathologist | 1930 S Broad, Philadelphia, PA 19103 | 2017-06-15 |
| 1598114449 | Brooke Elaine Mullen | Dietitian, Registered | 1708 Pine St Apt 1r, Philadelphia, PA 19103 | 2016-06-10 |
| 1972966026 | Alexandra Brady Jatzke | Dietitian, Registered | 1835 Market St Fl 2, Philadelphia, PA 19103 | 2016-04-05 |
| 1932574118 | David Clements Iv | Psychiatry & Neurology | 1845 Walnut St Ste 1540, Philadelphia, PA 19103 | 2015-12-14 |
| Find all providers in zip 19103 | ||||
| Taxonomy Code | 231HA2500X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| Specialization | Assistive Technology Supplier |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205007754 | Susan Wenick Inden | Audiologist | 8020 Castor Ave, Philadelphia, PA 19152-2732 | 2008-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831309145 | John Lusaitis Sr. | Audiologist | 875 Church St, Landisville, PA 17538-1557 | 2007-05-23 |
| 1003390477 | Better Hearing Aid Centers Inc | Audiologist | 3412 E Market St, York, PA 17402-2661 | 2018-09-20 |
| 1871738963 | Chanel Summers | Audiologist | 1550 Pratt St, Phila, PA 19124-1923 | 2008-12-03 |
| 1871701870 | Louis R Sieminski | Audiologist | 601 Wyoming Ave, Kingston, PA 18704-3701 | 2007-05-21 |
| 1457409336 | Patricia Ann Cohen | Audiologist | 7 W Central Ave, Suite 1, Paoli, PA 19301-1378 | 2007-01-08 |
| City | PHILADELPHIA |
| Zip Code | 19103 |
Please comment or provide details below to improve the information on LISA ANDREA BLACKMAN.
| 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.