DR. KELLEY L GLASS (NPI# 1235273681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235273681 |
Entity Type | Individual |
Full Name | DR. KELLEY L GLASS |
Credential | AU.D |
Practice Address |
79 Highland Ave Suite 304 Salem MA 01970-2711 |
Mailing Address |
15 Prospect Ave Swampscott MA 01907-2213 |
Practice Telephone | 9787411284 |
Practice Fax Number | 9787450203 |
Mailing Telephone | 3394404122 |
Enumeration Date | 2007-02-19 |
Last Update Date | 2010-02-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 237600000X | Audiologist-Hearing Aid Fitter | 511 | MA | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 5104050 | 05 | |
MA | BLUE SHIELD PROVIDER NUMB | AD0076 | 01 |
MA | MASS STATE LICENSE | 511 | 01 |
Street Address |
79 HIGHLAND AVE SUITE 304 |
City | SALEM |
State | MA |
Zip Code | 01970-2711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750375713 | North Shore Ophthalmic Associates Inc | Ophthalmology | 79 Highland Ave, Salem Hospital Medical Office Building Suite 101, Salem, MA 01970-2711 | 2005-09-07 |
1629335633 | Robin Ann Trenti | Audiologist | 79 Highland Ave, Suite 304, Salem, MA 01970-2711 | 2012-04-15 |
1811174915 | Richard S. Eisner D.p.m. | Durable Medical Equipment & Medical Supplies | 79 Highland Ave, Suite 216, Salem, MA 01970 | 2008-01-31 |
1568687176 | Dr. John G. Hernandez & Assoc. Inc | Specialist | 79 Highland Ave, Suite 308, Salem, MA 01970-2711 | 2007-04-17 |
1891841094 | Clear Hearing, Inc. | Hearing Aid Equipment | 79 Highland Ave, Suite 304, Salem, MA 01970-2711 | 2007-01-28 |
1417050022 | John G Hernandez | Otolaryngology | 79 Highland Ave, Suite 308, Salem, MA 01970 | 2006-09-07 |
1033211164 | William Lloyd | Internal Medicine | 79 Highland Ave, Ste 309, Salem, MA 01970 | 2006-09-01 |
1730192949 | Richard J Hannah | Internal Medicine | 79 Highland Ave, Suite 302, Salem, MA 01970 | 2006-08-15 |
1912980509 | Faith Kramer | Orthotist | 79 Highland Ave, Suite 216, Salem, MA 01970-2711 | 2005-11-28 |
1437148715 | David J Martini Md | Surgery | 79 Highland Ave, Suite 3, Salem, MA 01970-2711 | 2005-10-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
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Taxonomy Code | 237600000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Audiologist-Hearing Aid Fitter |
An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821133034 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 862 Lancaster Dr. Se, Salem, OR 97301-5831 | 2007-02-21 |
1235217167 | Sonus-usa, Inc. | Audiologist-Hearing Aid Fitter | 1126 Lancaster Dr Ne, Salem, OR 97301-2933 | 2006-11-01 |
1285153841 | Jade Kuhl | Audiologist-Hearing Aid Fitter | 2521 Boone Rd Se Ste 120, Salem, OR 97306-9391 | 2017-09-14 |
1346696580 | Tiffany A Egli | Audiologist-Hearing Aid Fitter | 975 Market St Ne, Salem, OR 97301-1131 | 2016-05-06 |
1306961297 | Allan Steven Mehr | Audiologist-Hearing Aid Fitter | 120 Ramsgate Sq S, Salem, OR 97302-5868 | 2007-03-20 |
1639229867 | Kristin Lillie | Audiologist-Hearing Aid Fitter | 2611 Pringle Rd Se, Salem, OR 97302-1533 | 2007-01-11 |
1700806445 | Allan Steven Mehr | Audiologist-Hearing Aid Fitter | 120 Ramsgate Sq S, Salem, OR 97302-5868 | 2006-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134756018 | Michelle R Harris | Audiologist-Hearing Aid Fitter | 20 Tremont St Ste 25, Duxbury, MA 02332-5315 | 2020-03-23 |
1407328875 | The Norwell Group | Audiologist-Hearing Aid Fitter | 747 Main St Ste 124, Concord, MA 01742-3355 | 2018-12-26 |
1518437417 | Paul G Dole | Audiologist-Hearing Aid Fitter | 8 Grove St Ste 306, Wellesley, MA 02482-7779 | 2018-12-04 |
1255748323 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 77 State Rd, Dartmouth, MA 02747-2935 | 2014-07-21 |
1417263021 | Deborah Lee Stroetzel I | Audiologist-Hearing Aid Fitter | 40 Wright St., Palmer, MA 01069 | 2010-08-20 |
1225361819 | Halie Elisabeth Paperno | Audiologist-Hearing Aid Fitter | 1 Wallace Bashaw Way Ste 3002, Newburyport, MA 01950-3877 | 2009-09-14 |
1174715940 | Dayna Lisanne Hume | Audiologist-Hearing Aid Fitter | 557 Lancaster St, Leominster, MA 01453 | 2007-08-15 |
1558569657 | Milford Audiology Center Inc | Audiologist-Hearing Aid Fitter | 215 West Street, Milford, MA 01757 | 2007-07-10 |
1780889857 | C I D Trey Inc | Audiologist-Hearing Aid Fitter | 48 Camp St, Hyannis, MA 02601 | 2007-06-19 |
1073667549 | Stephen Sidney Grolnic | Audiologist-Hearing Aid Fitter | 664 Waverly St, Framingham, MA 01702-8554 | 2007-01-22 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.