Individual provider Active NPI

Rebecca Pratt Glover, AU.D., CCC-A

  • Audiologist
  • Chelsea, MI
National Provider Identifier
1073199352
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601001009 Issued in MI
Practice address
1600 Commerce Park Dr Ste 300
Chelsea, MI 48118-1620
Phone
(734) 433-0699
Fax
(734) 433-1307
NPI assigned
Mar 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601001009 MI Primary

Addresses

Primary practice location

1600 Commerce Park Dr Ste 300
Chelsea, MI 48118-1620

Mailing address

3641 Partridge Path Apt 6
Ann Arbor, MI 48108-2446
Phone (734) 707-5857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210520002287 MI Practitioner - Qualified Audiologist 4082013230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rankin Audiology and Hearing LLCGroup PAC ID 4385950286, 2 clinicians

Practice addresses (Care Compare)

1600 Commerce Park Dr
Suite 300
Chelsea, MI 48118-1620
Phone (734) 433-0699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1601001009MIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rankin Audiology and Hearing, LLC Audiologist CurrentSince Mar 31, 2021 Accepting new patients

Locations

1103 W Beecher St
Adrian, MI 49221
Phone (517) 263-1100

1600 Commerce Park Dr
Ste 300
Chelsea, MI 48118
Phone (734) 433-0699

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1073199352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 PARTRIDGE PATH APT 6",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082446",
            "telephone_number": "734-707-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COMMERCE PARK DR STE 300",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181620",
            "telephone_number": "734-433-0699",
            "fax_number": "734-433-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "REBECCA",
        "middle_name": "PRATT",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601001009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.