Individual provider Active NPI

Glenda M Embry, CNM

  • Advanced Practice Midwife
  • Elgin, IL
National Provider Identifier
1033433214
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209002101 Issued in IL
Practice address
1435 N Randall Rd Ste 304
Elgin, IL 60123-2304
Phone
(847) 697-7722
Fax
(847) 697-7896
NPI assigned
Mar 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209002101 IL Primary

Addresses

Primary practice location

1435 N Randall Rd Ste 304
Elgin, IL 60123-2304

Mailing address

39 Cedar Gate Cir
Sugar Grove, IL 60554-4205
Phone (630) 567-1075

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
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
209002101ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J Riermaier MD JD SC PastSince Jun 1, 2001 Accepting new patients
Rosalind Simon Downing,M.D,F.a.a.P. Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: glenda.embry.1@13826.direct.athenahealth.com
  • Direct secure messaging: glenda.embry@ilc017.digichart.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1033433214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CEDAR GATE CIR",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605544205",
            "telephone_number": "630-567-1075",
            "fax_number": "630-466-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 N RANDALL RD STE 304",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601232304",
            "telephone_number": "847-697-7722",
            "fax_number": "847-697-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBRY",
        "first_name": "GLENDA",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209002101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.