Active NPI
Glenda Nell Stegall, RN
- Hospice Registered Nurse
- Longview, TX
National Provider Identifier
1043649866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice Registered Nurse
- License
- 655652
- Practice address
- 1409 Eden Dr
Longview, TX 75605-4104 - Phone
- (903) 261-4122
- Fax
- (903) 753-1056
- NPI assigned
- Nov 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice Registered Nurse | 163WH1000X | 655652 | TX | Primary |
Addresses
Primary practice location
1409 Eden Dr
Longview, TX 75605-4104
Mailing address
1409 Eden Dr
Longview, TX 75605-4104
Phone (903) 261-4122
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 655652 | TX | MD | Hospice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383350400000",
"number": "1043649866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 EDEN DR",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756054104",
"telephone_number": "903-261-4122",
"fax_number": "903-753-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 EDEN DR",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756054104",
"telephone_number": "903-261-4122",
"fax_number": "903-753-1056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEGALL",
"first_name": "GLENDA",
"middle_name": "NELL",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-02",
"last_updated": "2013-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "TX",
"license": "655652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.