Individual provider Active NPI

Donna Glass, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greeneville, TN
National Provider Identifier
1053612812
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
33009 Issued in TN
Practice address
438 E Vann Rd Ste 202
Greeneville, TN 37743-7202
Phone
(423) 636-0491
NPI assigned
Nov 10, 2010
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 33009 TN Primary
Registered Nurse 163W00000X 128337 TN

Addresses

Primary practice location

438 E Vann Rd Ste 202
Greeneville, TN 37743-7202

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (432) 952-2111

Other practice location 1

2204 Pavilion Dr Ste 107
Kingsport, TN 37660-4651
Phone (423) 343-1442

Other practice location 2

525 N State Of Franklin Rd Ste 9
Johnson City, TN 37604-8213
Phone (423) 302-3480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20230201000854 TN Practitioner - Nurse Practitioner 9537530498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1497 W Elk Ave
Elizabethton, TN 37643-2896

2204 Pavilion Dr
Suite 107
Kingsport, TN 37660-4651
Phone (423) 302-3480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
128337TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jan 29, 2023 Accepting new patients
Wellmont Health System Current Accepting new patients
Wellmont Medical Associates Inc Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jan 29, 2023 Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

438 E Vann Rd
Ste 202
Greeneville, TN 37743
Phone (423) 278-1703

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

525 N State of Franklin Rd
Ste 9
Johnson City, TN 37604
Phone (423) 302-3480

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

2204 Pavilion Dr
Ste 107
Kingsport, TN 37660
Phone (423) 343-1442

Interoperability endpoints

  • Direct secure messaging: dglass289083@balladhealth.medalliesdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1053612812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "432-952-2111",
            "fax_number": "423-282-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 E VANN RD STE 202",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377437202",
            "telephone_number": "423-636-0491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2204 Pavilion Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604651",
            "country_code": "US",
            "telephone_number": "423-343-1442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 N State Of Franklin Rd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376048213",
            "country_code": "US",
            "telephone_number": "423-302-3480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASS",
        "first_name": "DONNA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-10",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "33009",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "128337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.