Individual provider Active NPI

Leighanne Glazener, MD

  • Obstetrics & Gynecology Physician
  • Corpus Christi, TX
National Provider Identifier
1053415117
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J7973 Issued in TX
Practice address
7121 S Padre Island Dr
Suite 302
Corpus Christi, TX 78412-4938
Phone
(361) 851-5000
Fax
(361) 851-8053
NPI assigned
Sep 11, 2006
Last updated
Aug 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X J7973 TX Primary

Addresses

Primary practice location

7121 S Padre Island Dr
Suite 302
Corpus Christi, TX 78412-4938

Mailing address

7121 S Padre Island Dr
Suite 302
Corpus Christi, TX 78412-4938
Phone (361) 851-5000

Other identifiers 1

IdentifierTypeStateIssuer
036294901MedicaidTX

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J7973TXMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: lglazener@ccwc.directbygreenway.com

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1053415117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 S PADRE ISLAND DR",
            "address_2": "SUITE 302",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124938",
            "telephone_number": "361-851-5000",
            "fax_number": "361-851-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 S PADRE ISLAND DR",
            "address_2": "SUITE 302",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124938",
            "telephone_number": "361-851-5000",
            "fax_number": "361-851-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZENER",
        "first_name": "LEIGHANNE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J7973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036294901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.