Individual provider Active NPI

Karen S. Glickman, M.A., CCC-A

  • Audiologist
  • Olney, MD
National Provider Identifier
1841790169
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
00642 Issued in MD
Practice address
18111 Prince Philip Dr Ste 123
Olney, MD 20832-1503
Phone
(301) 570-4226
NPI assigned
Feb 13, 2018
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 00642 MD Primary

Addresses

Primary practice location

18111 Prince Philip Dr Ste 123
Olney, MD 20832-1503

Mailing address

18111 Prince Philip Dr
Olney, MD 20832-1513
Phone (301) 570-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200929000000 MD Practitioner - Qualified Audiologist 0547689341 Reassigns benefits to 1 organization
I20201217002080 DC Practitioner - Qualified Audiologist 0547689341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18111 Prince Philip Dr
Suite 202
Olney, MD 20832-1506
Phone (301) 570-4226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
00642MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced ENT Care, LLC Audiologist CurrentSince Sep 1, 2020 Accepting new patients
Preferred Hearing Center CurrentSince Dec 4, 2020 Accepting new patients

Locations

18111 Prince Philip Dr
Ste 123
Olney, MD 20832
Phone (301) 260-9202

18111 Prince Philip Dr
Ste 202
Olney, MD 20832
Phone (301) 570-4226

6565 N Charles St
Ste 601
Towson, MD 21204
Phone (410) 821-5151

Organizations & group practices 2

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": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1841790169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 PRINCE PHILIP DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321513",
            "telephone_number": "301-570-1333",
            "fax_number": "301-570-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 PRINCE PHILIP DR STE 123",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321503",
            "telephone_number": "301-570-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLICKMAN",
        "first_name": "KAREN",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "00642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.