Neely A Gladd, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71001997A Issued in IN

Practice address

524 Branch CT
Columbia City, IN 46725-1323

Phone

(260) 244-6203

Fax

(260) 244-5212

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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.

• Parkview Hospital, Inc.

  • Trauma Surgery Physician
  • Fort Wayne, IN
  • NPI 1669576997
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2010 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 18, 2008.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1043321672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 BRANCH CT",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251323",
            "telephone_number": "260-244-6203",
            "fax_number": "260-244-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 BRANCH CT",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251323",
            "telephone_number": "260-244-6203",
            "fax_number": "260-244-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADD",
        "first_name": "NEELY",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001997A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000528916",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "351972384039",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ruth Furman, N.P.
• Christy Garau, MSW
• Brooke Garcia
• Barbara Lynn Gensic Reed, RPH
• GFD CC LLC
• Geoffrey Louis Glogas, DDS
• Golden Care Supplies, LLC
• Margery Ann Gordon, D.O.
• Renee Grant
• Lauren Renee Greulich, B. A.

• All providers in Columbia City, IN
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.