Individual provider Active NPI

Juliet Gladson, NP

  • Pediatric Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1033366646
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
13721 Issued in TN
Practice address
801 N Weisgarber Rd
Suite 200
Knoxville, TN 37909-2706
Phone
(865) 584-8588
Fax
(865) 584-3364
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Clinical Nurse Specialist 364SP0200X 152087 TN
Pediatric Nurse Practitioner 363LP0200X 13721 TN Primary

Addresses

Primary practice location

801 N Weisgarber Rd
Suite 200
Knoxville, TN 37909-2706

Mailing address

6701 Baum Dr
Suite 140
Knoxville, TN 37919-7360
Phone (865) 584-5727

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

State licenses

LicenseStateTypeSpecialty
13721TNMDPediatric Nurse Practitioner
152087TNMDPediatric Clinical Nurse Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1033366646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 BAUM DR",
            "address_2": "SUITE 140",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197360",
            "telephone_number": "865-584-5727",
            "fax_number": "865-450-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N WEISGARBER RD",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092706",
            "telephone_number": "865-584-8588",
            "fax_number": "865-584-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADSON",
        "first_name": "JULIET",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "TN",
            "license": "152087",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "13721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.