IndividualActive
Jacob Conrad
NPI 1265259626 · Assistive Technology Supplier Audiologist · Annapolis, MD
Provider details
- NPI number
- 1265259626
- Entity type
- Individual
- Primary specialty
- Assistive Technology Supplier AudiologistSpeech, Language and Hearing Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
509 S Cherry Grove Ave Ste a
Annapolis, MD 21401-4235
Phone: (410) 266-9442
Street-level locationGet directions
Mailing address
509 S Cherry Grove Ave Ste a
Annapolis, MD 21401-4235
Registry dates
- Enumerated
- 2024-09-25
- Last updated
- 2024-09-25
- Certified
- 2024-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.