Individual provider Active NPI

Caroline H Aland, AUD

  • Audiologist
  • Severna Park, MD
National Provider Identifier
1922097617
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
00484 Issued in MD
Practice address
580 Ritchie Hwy
Ste I
Severna Park, MD 21146-3924
Phone
(410) 647-7795
Fax
(410) 315-8823
NPI assigned
Oct 17, 2005
Last updated
Nov 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 00484 MD Primary

Addresses

Primary practice location

580 Ritchie Hwy
Ste I
Severna Park, MD 21146-3924

Mailing address

580 Ritchie Hwy Ste I
Severna Park, MD 21146-3926
Phone (443) 496-0929

Other identifiers 7

IdentifierTypeStateIssuer
0001F190OtherCAREFIRST BLUE CHOICE BLU
505592OtherUS HEALTHCARE
53637402OtherCAREFIRST BLUE CROSS
6868696OtherCIGNA
21425OtherALLIANCE MAMSI MDIPA OPTI
4560313OtherAETNA
KW03OtherBLUE SHIELD

Other names 1

  • Caroline Derosset Holland Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111207000345 MD Practitioner - Qualified Audiologist 2769657527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Hearing Centers IncGroup PAC ID 0840243259, 7 clinicians

Practice addresses (Care Compare)

115 Sallitt Dr
Suite B
Stevensville, MD 21666-2156
Phone (410) 643-9699

5952 Hubbard Dr
North Bethesda, MD 20852-4824
Phone (301) 468-0551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00484MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Hearing Centers, Inc. Past Accepting new patients

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1922097617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 RITCHIE HWY STE I",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463926",
            "telephone_number": "443-496-0929",
            "fax_number": "410-315-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 RITCHIE HWY",
            "address_2": "STE I",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463924",
            "telephone_number": "410-647-7795",
            "fax_number": "410-315-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAND",
        "first_name": "CAROLINE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "00484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CHOICE BLU",
            "identifier": "0001F190",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE",
            "identifier": "505592",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS",
            "identifier": "53637402",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6868696",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE MAMSI MDIPA OPTI",
            "identifier": "21425",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4560313",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "KW03",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "HOLLAND",
            "middle_name": "DEROSSET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.