Individual provider Active NPI

Pamela Ison-Glover

  • Audiologist
  • Hopkinsville, KY
National Provider Identifier
1467458141
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
KY94 Issued in KY
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

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000064989OtherKYBCBS
70000948MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090209000618 KY Practitioner - Qualified Audiologist 7315934676 Reassigns benefits to 1 organization

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
Jennie Stuart Medical Center IncGroup PAC ID 4183607252, 113 clinicians

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

LicenseStateTypeSpecialty
0094KYMDProfessional Counselor
KY94KYMDAudiologist
0317KYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Stuart Medical Center Inc Current Accepting new patients
Jennie Stuart Medical Center Inc CurrentSince Dec 5, 2022 Accepting new patients
Jennie Stuart Medical Center Inc Audiologist CurrentSince Dec 5, 2022 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.

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.

Verify at the official NPI Registry.