Active NPI
Karson Nicole Marvel, AU.D.
- Audiologist
- Lutherville Timonium, MD
National Provider Identifier
1962079780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 01555
- Practice address
- 1447 York Rd Ste 312
Lutherville Timonium, MD 21093-6052 - Phone
- (410) 583-7021
- NPI assigned
- Jun 9, 2021
- 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 | 01555 | MD | Primary |
Addresses
Primary practice location
1447 York Rd Ste 312
Lutherville Timonium, MD 21093-6052
Mailing address
1215 Brandy Springs Rd
Parkton, MD 21120-9748
Phone (443) 695-2397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210720002826 | MD | Practitioner - Qualified Audiologist | 4082017603 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hearing Assessment Center, LLC
Practice addresses (Care Compare)
1447 York Rd
Suite 312
Lutherville, MD 21093-6072
Phone (410) 583-7021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Assessment Center, Inc. | Audiologist | 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 and National Provider Directory roles.
-
- Audiologist
- Lutherville, MD
- NPI 1205837382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1962079780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 BRANDY SPRINGS RD",
"city": "PARKTON",
"state": "MD",
"postal_code": "211209748",
"telephone_number": "443-695-2397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1447 YORK RD STE 312",
"city": "LUTHERVILLE TIMONIUM",
"state": "MD",
"postal_code": "210936052",
"telephone_number": "410-583-7021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARVEL",
"first_name": "KARSON",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-09",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "01555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutherville Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.