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Deactivated NPI 1053304899 Deactivated / Inactive NPI Female Practitioner

Blanche Lyn Blackington , MA

Audiologist • San Diego, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Blanche Blackington has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 26, 2005
NPI Deactivation Date May 02, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Blanche Blackington, MA was a registered Audiologist practicing in San Diego, CA. Throughout an active medical career spanning 17 years, Blanche Blackington provided care at the practice location at 4060 4TH AVE until profile deactivation on 2022-05-02.

Historical Medicare Part B clinical services included comprehensive hearing and speech recognition test, eardrum testing using ear probe. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4060 4th Ave
Ste 410 A

San Diego, CA 921032116

Telephone 6192988546
Fax 6192988593
Associated Practice Facility / Clinic
🏢 A. Grant Kingsbury, Md, Inc Facility NPI 1588650626

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in San Diego, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 17.1 Yrs
Regional Practice Density
153 Specialists

Practicing in San Diego, CA (1598 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92557 Comprehensive hearing and speech recognition test
28 28 $95.00 $41.24
92567 Eardrum testing using ear probe
16 16 $40.00 $18.61

Medical Specialties & State Licenses

Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

State License CA AU1291

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
John Molenaar , MA, F-AAA

Audiologist-Hearing Aid Fitter

NPI 1174525299

Master of Arts, FAAA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated May 02, 2022

Record deactivated on May 02, 2022

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NPI Profile Deactivated April 29, 2022

Record deactivated on April 29, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4060 4TH AVE, STE 410 A, SAN DIEGO, CA 921032116 (Tel: 6192988546)

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Updated Business Mailing Address July 08, 2007

Registered at 4747 MISSION BLVD, STE 6, SAN DIEGO, CA 921092541 (Tel: 6192988546)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BLANCHE BLACKINGTON, MA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Audiologist (License #AU1291 in CA)

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Initial NPI Registration & Enumeration August 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053304899
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2005
Last Update: July 08, 2007
Deactivation Date: May 02, 2022

Mailing Address

4747 Mission Blvd, Ste 6

San Diego, CA 921092541

Phone: 6192988546

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.