Active NPI
Glendale M. Imson, CRNA, MSN
- Certified Registered Nurse Anesthetist
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN-2070
- Practice address
- 888 S King St
Honolulu, HI 96813-3097 - Phone
- (808) 522-4000
- Fax
- (808) 522-4624
- NPI assigned
- Jan 5, 2007
- Last updated
- Jan 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN-2070 | HI | Primary |
| Registered Nurse | 163W00000X | 501976 | NY |
Addresses
Primary practice location
888 S King St
Honolulu, HI 96813-3097
Mailing address
PO Box 740241
Los Angeles, CA 90074-0241
Phone (917) 856-2120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
888 S King St
Honolulu, HI 96813-3097
Phone (808) 522-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.72 of 100
- Quality
- 67.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 501976 | NY | MD | Registered Nurse |
| APRN-2070 | HI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Valhalla Anesthesia Associates, PC | Past | Accepting new patients |
Locations
1946 Young St
Ste 320
Honolulu, HI 96826
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Straub Benioff Medical Center
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1457306508
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1245271154
-
dba Hawaii Pacific Health Specialty Pharmacy
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1295443216
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1124070800
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Straub Benioff Medical Center
- General Acute Care Hospital
- Honolulu, HI
- NPI 1720031701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1053468389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740241",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900740241",
"telephone_number": "917-856-2120",
"fax_number": "808-522-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 S KING ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968133097",
"telephone_number": "808-522-4000",
"fax_number": "808-522-4624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMSON",
"first_name": "GLENDALE",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "CRNA, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "HI",
"license": "APRN-2070",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "501976",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.