Active NPI
Lori Ann Glenn, RN MS CNM
- Advanced Practice Midwife
- Flint, MI
National Provider Identifier
1003943754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 4704165153
- Practice address
- 115 E Pierson Rd
Flint, MI 48505-3307 - Phone
- (810) 600-2444
- Fax
- (810) 785-9675
- NPI assigned
- Feb 28, 2007
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 4704165153 | MI | Primary |
Addresses
Primary practice location
115 E Pierson Rd
Flint, MI 48505-3307
Mailing address
5096 Twilight Dr
Fenton, MI 48430-8960
Phone (810) 265-2623
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
- Certified Nurse Midwife, Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704165153 | MI | MD | Advanced Practice Midwife |
Interoperability endpoints
- lglenn779338@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003943754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5096 TWILIGHT DR",
"city": "FENTON",
"state": "MI",
"postal_code": "484308960",
"telephone_number": "810-265-2623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E PIERSON RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485053307",
"telephone_number": "810-600-2444",
"fax_number": "810-785-9675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RN MS CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MI",
"license": "4704165153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.