Active NPI
Glory Patrick Inwang Johnson, RN
- Case Management Registered Nurse
- Bowie, MD
National Provider Identifier
1023776580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- RN1025570
- Practice address
- 2410 Mitchellville Rd
Bowie, MD 20716-1548 - Phone
- (443) 571-7720
- NPI assigned
- Dec 2, 2021
- 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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN1025570 | DC | Primary |
Addresses
Primary practice location
2410 Mitchellville Rd
Bowie, MD 20716-1548
Mailing address
2410 Mitchellville Rd
Bowie, MD 20716-1548
Phone (443) 571-7720
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1025570 | DC | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1023776580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 MITCHELLVILLE RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207161548",
"telephone_number": "443-571-7720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 MITCHELLVILLE RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207161548",
"telephone_number": "443-571-7720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INWANG JOHNSON",
"first_name": "GLORY",
"middle_name": "PATRICK",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-02",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "DC",
"license": "RN1025570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.