Active NPI
Jacob Conrad
- Assistive Technology Supplier Audiologist
- Annapolis, MD
National Provider Identifier
1265259626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Supplier Audiologist
- Practice address
- 509 S Cherry Grove Ave Ste a
Annapolis, MD 21401-4235 - Phone
- (410) 266-9442
- NPI assigned
- Sep 25, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Supplier Audiologist | 231HA2500X | Primary |
Addresses
Primary practice location
509 S Cherry Grove Ave Ste a
Annapolis, MD 21401-4235
Mailing address
509 S Cherry Grove Ave Ste a
Annapolis, MD 21401-4235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Menm, LLC | Current | Accepting new patients | |
| Ultimate Hearing Solutions III, LLC | Past | Accepting new patients |
Locations
509 S Cherry Grove Ave
Ste A
Annapolis, MD 21401
Phone (410) 266-9442
Organizations & group practices 2
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.
-
- Hearing Instrument Specialist
- Annapolis, MD
- NPI 1215772652
-
- Audiologist-Hearing Aid Fitter
- Annapolis, MD
- NPI 1811344575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1265259626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 S CHERRY GROVE AVE STE A",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214014235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 S CHERRY GROVE AVE STE A",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214014235",
"telephone_number": "410-266-9442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "JACOB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-25",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.