Individual provider Active NPI

Dana M Glasenhardt, AUD

  • Audiologist
  • Chicago, IL
National Provider Identifier
1619124179
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147001288 Issued in IL
Practice address
5015 N Paulina St Ste 214
Chicago, IL 60640-2756
Phone
(773) 805-3534
Fax
(773) 285-6333
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147001288 IL Primary

Addresses

Primary practice location

5015 N Paulina St Ste 214
Chicago, IL 60640-2756

Mailing address

5015 N Paulina St Ste 214
Chicago, IL 60640-2756
Phone (773) 805-3534

Other names 1

  • Dana Turpin Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080922000494 IL Practitioner - Qualified Audiologist 4587731252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5015 N Paulina St
Suite 214
Chicago, IL 60640-2756
Phone (773) 805-3534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147001288ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Covenant Management Services, Inc. Current Accepting new patients
Glasenhardt Av, Inc. Audiologist CurrentSince Jun 17, 2018 Accepting new patients
Swedish Covenant Management Services, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Jul 1, 2020 Accepting new patients
North America Rehab Services, Inc. PastSince May 26, 2012 Accepting new patients

Locations

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

5140 N California Ave
Ste 550
Chicago, IL 60625
Phone (773) 334-8004

2740 W Foster Ave
Ste 310
Chicago, IL 60625

5015 N Paulina St
Ste 214
Chicago, IL 60640
Phone (773) 805-3534

5140 N California Ave
Ste 55
Chicago, IL 60625
Phone (773) 728-8800

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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1619124179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 N PAULINA ST STE 214",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402756",
            "telephone_number": "773-805-3534",
            "fax_number": "773-285-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 N PAULINA ST STE 214",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402756",
            "telephone_number": "773-805-3534",
            "fax_number": "773-285-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASENHARDT",
        "first_name": "DANA",
        "middle_name": "M",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "TURPIN",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.