Gloriajean Nelson, FNP-C, CWOCN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP7644 Issued in AZ

Practice address

70 N Harrison Rd
Tucson, AZ 85748-3260

Phone

(520) 324-4403

Fax

(520) 324-1409

NPI assigned

Feb 11, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JCACBA/Endpoint/JCACBA
• FHIR API: https://fhir4.healow.com/fhir/r4/JCACBA

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.

• TMC Urgent Care

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1649759606
  Medicare reassignment NPD
• Tucson Endocrine Associates PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Tucson, AZ
  • NPI 1083766828
  Medicare reassignment NPD
• TMC Urgent Care

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1669202909
  NPD

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1043601040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31235",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511235",
            "telephone_number": "520-324-2308",
            "fax_number": "520-324-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N HARRISON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857483260",
            "telephone_number": "520-324-4403",
            "fax_number": "520-324-1409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2424 N Wyatt Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857126115",
            "country_code": "US",
            "telephone_number": "520-324-4690",
            "fax_number": "520-324-4691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10350 E Drexel Rd Unit 170",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857479411",
            "country_code": "US",
            "telephone_number": "520-324-8070",
            "fax_number": "520-324-8071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10350 E Drexel Rd Unit 110",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857479409",
            "country_code": "US",
            "telephone_number": "520-324-1727",
            "fax_number": "520-324-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9356 E Rita Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857476318",
            "country_code": "US",
            "telephone_number": "520-324-4499",
            "fax_number": "520-324-4911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "GLORIAJEAN",
        "credential": "FNP-C, CWOCN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "AZ",
            "license": "RN163032",
            "primary": false
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "AZ",
            "license": "RN163032",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7644",
            "primary": true
        },
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": "AZ",
            "license": "RN163032",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z229692",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006233",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig E Nelson, MD
• Diane T Nelson, R.PH.
• Eric J Nelson, MSPT
• Erin Nicole Nelson, LPC
• Glenn E. Nelson, DPM
• Haven Nichole Nelson
• Jan M Nelson, PT, MSPT
• Jeffrey M Nelson, M.D.
• Jessica Anne Nelson, MD
• Kylie Nelson, PT, DPT

• Family Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.