Individual provider Active NPI

Erin Elizabeth Glickman, AUD

  • Audiologist
  • Chevy Chase, MD
National Provider Identifier
1437718277
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01430 Issued in MD
Practice address
5454 Wisconsin Ave Ste 1540
Chevy Chase, MD 20815-6954
Phone
(301) 652-8847
Fax
(301) 652-3751
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD000197 DC
Audiologist 231H00000X 01430 MD Primary

Addresses

Primary practice location

5454 Wisconsin Ave Ste 1540
Chevy Chase, MD 20815-6954

Mailing address

5454 Wisconsin Ave Ste 1535
Chevy Chase, MD 20815-6922
Phone (301) 652-8847

Other practice location 1

12850 Middlebrook Rd Ste 410
Germantown, MD 20874-5281
Phone (301) 652-8847

Other practice location 2

1145 19th St NW Ste 402
Washington, DC 20036-3716
Phone (301) 652-8847

Other practice location 3

6410 Rockledge Dr Ste 305
Bethesda, MD 20817-1841
Phone (301) 652-8847

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190807003356 DC Practitioner - Qualified Audiologist 3173850567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced ENT Care LLCGroup PAC ID 1658647359, 103 clinicians

Practice addresses (Care Compare)

5454 Wisconsin Ave
Suite 1535
Chevy Chase, MD 20815-6922
Phone (301) 652-8847

6410 Rockledge Dr
Suite 305
Bethesda, MD 20817-1841
Phone (301) 652-8847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01430MDMDOccupational Therapist
AUD000197DCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced ENT Care, LLC Audiologist CurrentSince Jul 1, 2019 Accepting new patients

Locations

1145 19th St NW
Ste 402
Washington, DC 20036
Phone (202) 466-8546

6410 Rockledge Dr
Ste 305
Bethesda, MD 20817
Phone (301) 493-9409

5454 Wisconsin Ave
Ste 1535
Chevy Chase, MD 20815
Phone (301) 652-8847

5454 Wisconsin Ave
Ste 1540
Chevy Chase, MD 20815
Phone (301) 565-8100

12850 Middlebrook Rd
Ste 410
Germantown, MD 20874
Phone (301) 652-8847

Organizations & group practices 1

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": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1437718277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 1535",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156922",
            "telephone_number": "301-652-8847",
            "fax_number": "301-652-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 1540",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156954",
            "telephone_number": "301-652-8847",
            "fax_number": "301-652-3751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12850 Middlebrook Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208745281",
            "country_code": "US",
            "telephone_number": "301-652-8847",
            "fax_number": "301-515-8090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1145 19th St NW Ste 402",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200363716",
            "country_code": "US",
            "telephone_number": "301-652-8847",
            "fax_number": "202-331-1656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6410 Rockledge Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171841",
            "country_code": "US",
            "telephone_number": "301-652-8847",
            "fax_number": "301-581-0615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLICKMAN",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "DC",
            "license": "AUD000197",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.