Individual provider Active NPI

Codie Glass, FNP-C

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1033959804
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
877352 Issued in NV
Practice address
1371 W Warm Springs Rd Ste 120
Henderson, NV 89014-8068
Phone
(702) 286-1751
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 877352 NV Primary

Addresses

Primary practice location

1371 W Warm Springs Rd Ste 120
Henderson, NV 89014-8068

Mailing address

1371 W Warm Springs Rd Ste 120
Henderson, NV 89014-8068
Phone (702) 286-1751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912002912 NV Practitioner - Nurse Practitioner 7810437159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yang Medical Services PLLC 37 clinicians

Practice addresses (Care Compare)

1181 Grier Dr
Suite C
Las Vegas, NV 89119-3746
Phone (888) 888-9930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
877352NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yang Medical Services, PLLC Family Medicine CurrentSince Oct 30, 2025 Accepting new patients
True North Health Navigation LLC Emergency Medicine Past Accepting new patients

Locations

1181 Grier Dr
Ste C
Las Vegas, NV 89119
Phone (888) 888-9930

Interoperability endpoints

  • Direct secure messaging: codie.glass.1@13869.direct.athenahealth.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": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1033959804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 W WARM SPRINGS RD STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890148068",
            "telephone_number": "702-286-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 W WARM SPRINGS RD STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890148068",
            "telephone_number": "702-286-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "CODIE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "877352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.