Kelley L Glass, AU.D

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

511 Issued in MA

Practice address

79 Highland Ave
Suite 304
Salem, MA 01970-2711

Phone

(978) 741-1284

Fax

(978) 745-0203

NPI assigned

Feb 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kglass32162@direct.bilh.masshiway.net

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.

• Clear Hearing, Inc.

  • Hearing Aid Equipment
  • Salem, MA
  • NPI 1891841094
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1235273681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PROSPECT AVE",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072213",
            "telephone_number": "339-440-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HIGHLAND AVE",
            "address_2": "SUITE 304",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702711",
            "telephone_number": "978-741-1284",
            "fax_number": "978-745-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "KELLEY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MA",
            "license": "511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5104050",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "AD0076",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS STATE LICENSE",
            "identifier": "511",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krista Nicole Giordano, LCSW
• Mark Girard, MD
• Caitlin D Giron
• Brunilda Gjimara, LICSW
• GK Dentistry
• Global Coaching & Counseling Associates
• Mikaila Gnerre
• Ana Gogolashvili, M.D.
• Monique Rose Goguen, NP
• Iva Gojanovic, MSW, LICSW

• Audiologist-Hearing Aid Fitter in Salem, MA
• Providers in Salem, MA by specialty
• Audiologist-Hearing Aid Fitter in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.