Active NPI
Pamela Ison-Glover
- Audiologist
- Hopkinsville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- KY94
- Practice address
- 1720 S Virginia St
Hopkinsville, KY 42240-3684 - Phone
- (270) 886-8468
- Fax
- (270) 886-8472
- NPI assigned
- Jun 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 0317 | KY | |
| Audiologist | 231H00000X | KY94 | KY | Primary |
Addresses
Primary practice location
1720 S Virginia St
Hopkinsville, KY 42240-3684
Mailing address
PO Box 1002
Hopkinsville, KY 42241-1002
Phone (270) 886-8468
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000064989 | Other | KY | BCBS |
| 70000948 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10755 Eagle Way
Suite 201
Hopkinsville, KY 42240-8742
Phone (270) 807-5430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0094 | KY | MD | Professional Counselor |
| KY94 | KY | MD | Audiologist |
| 0317 | KY | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennie Stuart Medical Center Inc | Current | Accepting new patients | |
| Jennie Stuart Medical Center Inc | Current | Accepting new patients | |
| Jennie Stuart Medical Center Inc | Audiologist | Current | Accepting new patients |
| Sage Otolaryngology PLLC | Past | Accepting new patients | |
| Jennie Stuart Medical Center | Past | Accepting new patients |
Locations
10755 Eagle Way
Ste 201
Hopkinsville, KY 42240
Phone (270) 807-5430
10755 Eagle Way
Ste 202
Hopkinsville, KY 42240
Phone (270) 887-5640
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Hopkinsville, KY
- NPI 1235139312
-
- Family Nurse Practitioner
- Hopkinsville, KY
- NPI 1790086767
Audiologist
-
dba Jennie Stuart Family Health
- Rural Health Clinic/Center
- Hopkinsville, KY
- NPI 1912627605
-
dba Jennie Stuart Medical Center Home Health
- Home Health Agency
- Hopkinsville, KY
- NPI 1538222500
-
- Otolaryngology Physician
- Powderly, KY
- NPI 1548378680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1467458141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1002",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422411002",
"telephone_number": "270-886-8468",
"fax_number": "270-886-8472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 S VIRGINIA ST",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422403684",
"telephone_number": "270-886-8468",
"fax_number": "270-886-8472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISON-GLOVER",
"first_name": "PAMELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "KY",
"license": "0317",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "KY94",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000064989",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "70000948",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hopkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.