Individual provider Active NPI

Holly Ann Duncan, AU.D.

  • Audiologist
  • Columbia, MD
National Provider Identifier
1902215502
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01495 Issued in MD
Practice address
11085 Little Patuxent Pkwy Ste 101
Columbia, MD 21044-2914
Phone
(410) 760-8840
Fax
(410) 367-2464
NPI assigned
Aug 7, 2014
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD.0000717 CO
Audiologist 231H00000X AUD200001204 DC
Audiologist 231H00000X 01495 MD Primary
Audiologist-Hearing Aid Fitter 237600000X AUD.0000717 CO

Addresses

Primary practice location

11085 Little Patuxent Pkwy Ste 101
Columbia, MD 21044-2914

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-0000

Other practice location 1

13123 E 16th Ave
B030
Aurora, CO 80045-7106
Phone (720) 478-2367

Other practice location 2

802 Landmark Dr Ste 119
Glen Burnie, MD 21061-9121
Phone (410) 760-8840

Other identifiers 1

IdentifierTypeStateIssuer
19879067MedicaidCO

Other names 1

  • Ms. Holly Ann Hoffman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220404000059 DC Practitioner - Qualified Audiologist 3375939234 Reassigns benefits to 1 organization
I20240112002819 MD Practitioner - Qualified Audiologist 3375939234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10710 Charter Dr
Suite 400
Columbia, MD 21044-3276
Phone (410) 997-7979

1300 York Rd
Suite 30D
Lutherville, MD 21093-6090
Phone (443) 275-1337

802 Landmark Dr
Suite 119
Glen Burnie, MD 21061-9121
Phone (410) 760-8840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD200001204DCMDAudiologist
01495MDMDAudiologist
AUD.0000717COMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Regional Physicians LLC Audiologist CurrentSince Dec 1, 2024 Accepting new patients
Johns Hopkins Regional Physicians LLC Current Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Mar 28, 2022 Accepting new patients
Kennedy Krieger Associates CurrentSince Dec 5, 2023 Accepting new patients
Johns Hopkins Regional Physicians LLC CurrentSince Dec 1, 2024 Accepting new patients
Kennedy Krieger Associates CurrentSince Dec 5, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Current Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Mar 28, 2022 Accepting new patients

Locations

1741 Ashland Ave
Ste 642
Baltimore, MD 21205

707 N Broadway
Baltimore, MD 21205
Phone (443) 923-1870

10710 Charter Dr
Ste 400
Columbia, MD 21044
Phone (410) 997-7979

11085 Little Patuxent Pkwy
Ste 101
Columbia, MD 21044
Phone (410) 997-7979

802 Landmark Dr
Ste 119
Glen Burnie, MD 21061
Phone 4107608840203

1300 York Rd
Ste 30D
Lutherville Timonium, MD 21093
Phone (443) 275-1337

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

Organizations & group practices 8

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": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1902215502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11085 LITTLE PATUXENT PKWY STE 101",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442914",
            "telephone_number": "410-760-8840",
            "fax_number": "410-367-2464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13123 E 16th Ave",
            "address_2": "B030",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800457106",
            "country_code": "US",
            "telephone_number": "720-478-2367",
            "fax_number": "720-478-7069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 Landmark Dr Ste 119",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210619121",
            "country_code": "US",
            "telephone_number": "410-760-8840",
            "fax_number": "410-367-2464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0000717",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "DC",
            "license": "AUD200001204",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01495",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CO",
            "license": "AUD.0000717",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19879067",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13123 E 16th Ave",
            "address_2": "B030",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800457106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "HOFFMAN",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.