Active NPI
Victoria Elizabeth Glockzin
- Student in an Organized Health Care Education/Training Program
- Lillington, NC
National Provider Identifier
1003770108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4250 US-421
Lillington, NC 27546 - Phone
- (910) 893-1210
- NPI assigned
- Dec 12, 2025
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NC | Primary |
Addresses
Primary practice location
4250 US-421
Lillington, NC 27546
Mailing address
55 Valley Pines Cir
Spring Lake, NC 28390-7191
Phone (501) 749-0576
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1003770108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 VALLEY PINES CIR",
"city": "SPRING LAKE",
"state": "NC",
"postal_code": "283907191",
"telephone_number": "501-749-0576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 US-421",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "27546",
"telephone_number": "910-893-1210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOCKZIN",
"first_name": "VICTORIA",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-12",
"last_updated": "2025-12-12",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lillington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.