GLENN CLIPPARD (NPI# 1912150392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912150392 |
| Entity Type | Individual |
| Full Name | GLENN CLIPPARD |
| Credential | M.A., CCC-A |
| Practice Address |
22151 Moross Rd Prof Bldg I, Suite 223 Detroit MI 48236-2167 |
| Practice Telephone | 3133433153 |
| Practice Fax Number | 3133434111 |
| Mailing Telephone | 3133433153 |
| Mailing Fax Number | 3133434111 |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 1601000301 | MI | Speech, Language and Hearing Service Providers |
| Street Address |
22151 MOROSS RD PROF BLDG I, SUITE 223 |
| City | DETROIT |
| State | MI |
| Zip Code | 48236-2167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366440463 | Christine Ann Crader | Internal Medicine | 22151 Moross Rd, Detroit, MI 48236-2167 | 2005-07-12 |
| 1467078857 | Anirudh Kotha | Student in an Organized Health Care Education/Training Program | 22151 Moross Rd, Ste 214, Detroit, MI 48236 | 2020-06-22 |
| 1386147981 | Carla Freigeh | Physician Assistant | 22151 Moross Rd, Detroit, MI 48236-2167 | 2018-03-10 |
| 1245738822 | Stacey Alise Joiner | Counselor | 22151 Moross Rd, Detroit, MI 48236-2167 | 2018-01-29 |
| 1730618158 | Victoria Elizabeth Simmons | Surgery | 22151 Moross Rd, Suite 214, Detroit, MI 48236 | 2017-06-08 |
| 1902356272 | Jisha Dudeesh | Nurse Practitioner | 22151 Moross Rd, Professional Building One, Detroit, MI 48236-2167 | 2016-10-10 |
| 1841740792 | Celia Shallal | Social Worker | 22151 Moross Rd, Pb1, Detroit, MI 48236-2167 | 2016-10-04 |
| 1841668308 | Moayad Tarboush | Student in an Organized Health Care Education/Training Program | 22151 Moross Rd, Detroit, MI 48236-2167 | 2015-09-14 |
| 1285023226 | Lauren Krist | Nurse Practitioner | 22151 Moross Rd, Detroit, MI 48236-2167 | 2015-01-14 |
| 1194122937 | Patricia Vassallo | Nurse Practitioner | 22151 Moross Rd, Pb 2 Suite 209, Detroit, MI 48236-2167 | 2014-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1487059325 | Lions Hearing Center of Michigan | Audiologist | 1326 St. Antoine, Detroit, MI 48226 | 2014-11-04 |
| 1992113104 | Shelly Shelton | Audiologist | 600 Arden Park Blvd, Detroit, MI 48202 | 2014-07-31 |
| 1619315868 | Sonya Veronica Ellis | Audiologist | 3162 E Lafayette St, Detroit, MI 48207-4378 | 2013-06-10 |
| 1104058015 | Ashley Marie Deeb | Audiologist | 2799 W Grand Blvd Dept Of, Detroit, MI 48202-2608 | 2009-08-12 |
| 1871729731 | Dmc Billing Associates, LLC | Audiologist | 3990 John R St Ste 1702, Detroit, MI 48201-2018 | 2009-06-05 |
| 1750432373 | Randall George Barden | Audiologist | 4 E Alexandrine St, Detroit, MI 48201-2031 | 2007-01-12 |
| 1063561660 | Deaf,hearing, and Sign Language Center Inc. | Audiologist | 19185 Wyoming St, Detroit, MI 48221-3219 | 2007-01-10 |
| 1124640123 | Nicole Lynn Greenwalt | Audiologist | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-05-12 |
| 1639731847 | Samantha Sue Panning | Audiologist | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2019-07-08 |
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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.