STACY L BLACKINGTON (NPI# 1710069745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710069745 |
| Entity Type | Individual |
| Full Name | STACY L BLACKINGTON |
| Credential | AU.D. |
| Practice Address |
960 E Walnut Lawn St Springfield MO 65807-7506 |
| Mailing Address |
1001 E Primrose St Springfield MO 65807-5155 |
| Practice Telephone | 4178753600 |
| Mailing Telephone | 4178753000 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2013-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 2002019898 | MO | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 2002019898 | MO | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1710069745 | 05 |
| Street Address |
960 E WALNUT LAWN ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-7506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306846407 | Jeffrey Richard Fenwick | Otolaryngology | 960 E Walnut Lawn St, Suite 102, Springfield, MO 65807-7506 | 2005-07-29 |
| 1467974964 | Whitney Lauren Hayden | Audiologist | 960 E Walnut Lawn St, Springfield, MO 65807-7506 | 2017-07-17 |
| 1861881229 | Stephanie N Hart | Dietitian, Registered | 960 E Walnut Lawn St, Suite 203, Springfield, MO 65807 | 2015-01-22 |
| 1336548023 | Queen City Anesthesia Group, LLC | Anesthesiology | 960 E Walnut Lawn St, Springfield, MO 65807-7506 | 2014-08-19 |
| 1073807384 | Ladonna Marie Webb | Dietitian, Registered | 960 E Walnut Lawn St, Suite 203, Springfield, MO 65807-7506 | 2011-06-03 |
| 1063701027 | Emily Bigley | Dietitian, Registered | 960 E Walnut Lawn St, Springfield, MO 65807-7506 | 2011-03-30 |
| 1164595153 | Regional Services | Family Medicine | 960 E Walnut Lawn St, Ste. 201, Springfield, MO 65807-7506 | 2006-11-16 |
| 1457436735 | John Dock | Specialist | 960 E Walnut Lawn St, Ferrell Duncan Clinic Ent, Springfield, MO 65807-7506 | 2006-10-26 |
| 1538249016 | Jacob E Smith | Otolaryngology | 960 E Walnut Lawn St, Suite 102, Springfield, MO 65807-7506 | 2006-10-17 |
| 1083712327 | Jodi Flynn | Physician Assistant | 960 E Walnut Lawn St, Suite 203, Springfield, MO 65807-7506 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| 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 |
|---|---|---|---|---|
| 1760944565 | Hearing and Audiology Sevices, LLC | Audiologist | 1722 S Glenstone Ave Ste J1, Springfield, MO 65804-1530 | 2019-04-02 |
| 1649742982 | Abdullah M Jamos | Audiologist | 3106 E Kingsley St, Springfield, MO 65804-6689 | 2018-12-27 |
| 1326569609 | Decia Ann Demaio | Audiologist | 175 Carew St Ste 150, Springfield, MA 01104-2391 | 2017-06-27 |
| 1497197479 | Lindsay B Hobbs | Audiologist | 4145 S National Ave, Springfield, MO 65807-5356 | 2013-07-19 |
| 1508173790 | Liliana Cabrera Piccinini | Audiologist | 760 W Sproul Rd Ste 103, Springfield, PA 19064-4003 | 2010-09-09 |
| 1912212226 | Paloma M Robinson | Audiologist | 8314-c Traford Lane, Springfield, VA 22152 | 2010-08-11 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| 1003011743 | Marta Kay Fraker | Audiologist | 3250 E Battlefield St Ste N, Springfield, MO 65804-4081 | 2007-06-20 |
| 1275736332 | Nancy J Urcuioli | Audiologist | 100 Wason Ave Ste 100, Springfield, MA 01107-1179 | 2007-06-07 |
| 1790817021 | Hdn Sheppard Acquisition Inc. | Audiologist | 1905 W North St, Springfield, OH 45504-2956 | 2007-03-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.