Danielle Glenn Corbin, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

01477 Issued in MD

Practice address

131 Main St Ste 202
Prince Frederick, MD 20678-3341

Phone

(410) 535-6975

Fax

(410) 535-6915

NPI assigned

Aug 3, 2011

Last updated

Jul 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Danielle Glenn Gautreaux Former name

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": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1396023602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MAIN ST STE 202",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783341",
            "telephone_number": "410-535-6975",
            "fax_number": "410-535-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MAIN ST STE 202",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783341",
            "telephone_number": "410-535-6975",
            "fax_number": "410-535-6915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Mitchellville Rd Ste A414",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207163142",
            "country_code": "US",
            "telephone_number": "301-860-0985",
            "fax_number": "301-860-0978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "DANIELLE",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "GAUTREAUX",
            "middle_name": "GLENN",
            "prefix": "DR.",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Audiologist in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Audiologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.