London Rachelle Gleghorn, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2013025008 Issued in MO

Practice address

10097 Manchester Road
Suite 105
St. Louis, MO 63122

Phone

(314) 313-2289

Fax

(314) 984-8019

NPI assigned

Oct 22, 2007

Reactivated

Dec 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1154510576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10097 MANCHESTER ROAD",
            "address_2": "SUITE 105",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63122",
            "telephone_number": "314-313-2289",
            "fax_number": "314-984-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10097 MANCHESTER ROAD",
            "address_2": "SUITE 105",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63122",
            "telephone_number": "314-313-2289",
            "fax_number": "314-984-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEGHORN",
        "first_name": "LONDON",
        "middle_name": "RACHELLE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "deactivation_date": "2018-02-13",
        "reactivation_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2006011480",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2013025008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505161109",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Gleason
• Julie Gleason
• Mackenzie Gleason
• Peggy Curry Gleason, CNS
• Lindsey Anne Gleeson, ACNP
• Rose Gleghorn, FNP-BC
• Katie Elizabeth Gleiforst
• Glen E. Mueller D.M.D., P.C.
• Ciara Glenn, PA-C
• Marlena Glenn, LPC

• Audiologist in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Audiologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.