Individual provider Active NPI

Sharon Lynn Priebe, AU.D.

  • Audiologist
  • Hunt Valley, MD
National Provider Identifier
1992895734
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01115 Issued in MD
Practice address
11350 McCormick Rd Ste 102
Hunt Valley, MD 21065-9998
Phone
(410) 821-5151
Fax
(410) 321-0772
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 01115 MD Primary

Addresses

Primary practice location

11350 McCormick Rd Ste 102
Hunt Valley, MD 21065-9998

Mailing address

11350 McCormick Rd Ste 102
Hunt Valley, MD 21065-9998
Phone (410) 821-5151

Other names 1

  • Dr. Sharon Lynn Roof Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070803000242 MD Practitioner - Qualified Audiologist 9537250642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced ENT Care LLCGroup PAC ID 1658647359, 103 clinicians

Practice addresses (Care Compare)

6565 N Charles St
Suite 601
Baltimore, MD 21204-5801
Phone (410) 821-5151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01115MDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced ENT Care, LLC Audiologist CurrentSince Mar 13, 2018 Accepting new patients
Hearing Assessment Center, Inc. Audiologist Past Accepting new patients
Cumberland Valley ENT Consultants Past Accepting new patients
Hearing Assessment Center LLC Audiologist PastSince Jun 3, 2013 Accepting new patients

Locations

520 Upper Chesapeake Dr
Ste 206
Bel Air, MD 21014
Phone (410) 879-9100

11350 McCormick Rd
Ste 102
Hunt Valley, MD 21065
Phone (410) 821-5151

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

120 Sister Pierre Dr
Ste 202
Towson, MD 21204
Phone (410) 216-4945

6535 N Charles St
Ste 250
Towson, MD 21204
Phone (443) 849-2140

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1992895734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD STE 102",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210659998",
            "telephone_number": "410-821-5151",
            "fax_number": "410-321-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD STE 102",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210659998",
            "telephone_number": "410-821-5151",
            "fax_number": "410-321-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEBE",
        "first_name": "SHARON",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "ROOF",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.