Individual provider Active NPI

Rachel Glaze, AU.D, FAAA

  • Audiologist
  • Amarillo, TX
National Provider Identifier
1174770598
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80119 Issued in TX
Practice address
1600 S Coulter St
BLDG a #105
Amarillo, TX 79106-1710
Phone
(806) 352-2321
Fax
(806) 355-8941
NPI assigned
Aug 27, 2008
Last updated
Sep 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80119 TX Primary

Addresses

Primary practice location

1600 S Coulter St
BLDG a #105
Amarillo, TX 79106-1710

Mailing address

5303 50TH Street
Lubbock, TX 79414-5823
Phone (806) 799-8950

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200102001636 TN Practitioner - Qualified Audiologist 9133277064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Audiology Management Company IncGroup PAC ID 6507052149, 11 clinicians

Practice addresses (Care Compare)

804 N Thompson
1F
Murfreesboro, TN 37129
Phone (615) 295-2970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1960TNMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Audiology CurrentSince Oct 21, 2019 Accepting new patients
Johnson Audiology Management Company Inc Audiologist CurrentSince Oct 21, 2019 Accepting new patients
Lifestyle Hearing Corporation USA Inc Audiologist Past Accepting new patients
Livingston Hearing Aid Center, Inc. Audiologist PastSince Jul 13, 2009 Accepting new patients
Jack Jordan Jones Enterprises Past Accepting new patients

Locations

6830 Lee Hwy
Chattanooga, TN 37421
Phone (423) 710-1432

3325 Aspen Grove Dr
Ste 105
Franklin, TN 37067
Phone (615) 656-1109

5617 Highway 153
Ste 203
Hixson, TN 37343
Phone (423) 713-5266

804 N Thompson Ln
Ste 1F
Murfreesboro, TN 37129
Phone (615) 295-2970

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1174770598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 50TH STREET",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794145823",
            "telephone_number": "806-799-8950",
            "fax_number": "806-792-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST",
            "address_2": "BLDG A #105",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061710",
            "telephone_number": "806-352-2321",
            "fax_number": "806-355-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZE",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "AU.D, FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.