Active NPI
Lydia Glaude, PHD, RN
- Family Nurse Practitioner
- Henderson, NV
National Provider Identifier
1003043118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 839669
- Practice address
- 2662 W Horizon Ridge Pkwy
Henderson, NV 89052-2844 - Phone
- (702) 616-9660
- NPI assigned
- Jun 16, 2009
- Last updated
- Aug 23, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 839669 | NV | Primary |
Addresses
Primary practice location
2662 W Horizon Ridge Pkwy
Henderson, NV 89052-2844
Mailing address
2662 W Horizon Ridge Pkwy
Henderson, NV 89052-2844
Phone (702) 616-9660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2060577 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Doctor of Philosophy, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Sanjay Kandoth MD PC | Past | Accepting new patients | |
| Sanjay Kandoth MD PC | Past | Accepting new patients | |
| Sanjay Kandoth MD PC | Past | Accepting new patients | |
| Sanjay Kandoth MD PC | Past | Accepting new patients |
Interoperability endpoints
- lglaudecnp64319@direct.ccf.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba cleveland clinic foundation
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1003043118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2662 W HORIZON RIDGE PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522844",
"telephone_number": "702-616-9660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2662 W HORIZON RIDGE PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522844",
"telephone_number": "702-616-9660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAUDE",
"first_name": "LYDIA",
"credential": "PHD, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-16",
"last_updated": "2022-08-23",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "839669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2060577",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.