Active NPI
Caroline Stewart-Glaze
- Audiologist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2016023471
- Practice address
- 3860 S Lindbergh Blvd
#108
Saint Louis, MO 63127-1373 - Phone
- (314) 729-0077
- Fax
- (314) 729-0101
- NPI assigned
- Oct 31, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2016023471 | MO | Primary |
Addresses
Primary practice location
3860 S Lindbergh Blvd
#108
Saint Louis, MO 63127-1373
Mailing address
PO Box 790379
Saint Louis, MO 63179-0379
Phone (314) 729-0077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- West Virginia University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (636) 251-6000
615 S New Ballas Rd Administration B
St Louis, MO 63141-8221
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Audiologist | Current | Accepting new patients |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients |
Locations
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
607 S New Ballas Rd
Ste T2170
Saint Louis, MO 63141
Phone (314) 251-4235
607 S New Ballas Rd
Ste 2300
Saint Louis, MO 63141
Phone (314) 251-6394
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
901 Patients First Dr
Ste 3500
Washington, MO 63090
Phone (636) 390-1570
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
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
-
- Rural Health Clinic/Center
- Washington, MO
- NPI 1104912997
-
- Audiologist
- Saint Louis, MO
- NPI 1255790762
-
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1700338282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 790379",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631790379",
"telephone_number": "314-729-0077",
"fax_number": "314-729-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3860 S LINDBERGH BLVD",
"address_2": "#108",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631271373",
"telephone_number": "314-729-0077",
"fax_number": "314-729-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART-GLAZE",
"first_name": "CAROLINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-31",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "2016023471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.