Individual provider Active NPI

Dawn Marii Glowatz, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1053621334
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
COA.14429-NP Issued in OH
Practice address
8000 5 Mile Rd Ste 305
Cincinnati, OH 45230-2188
Phone
(513) 232-3500
Fax
(513) 624-2704
NPI assigned
Oct 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X COA.14429-NP OH Primary

Addresses

Primary practice location

8000 5 Mile Rd Ste 305
Cincinnati, OH 45230-2188

Mailing address

8000 5 Mile Rd Ste 305
Cincinnati, OH 45230-2188
Phone (513) 232-3500

Other practice location 1

3333 Burnet Ave
MLC 3014
Cincinnati, OH 45229-3026
Phone (513) 636-4788

Other practice location 2

7502 State Rd Ste 3310
Cincinnati, OH 45255-2800
Phone (513) 624-1240

Other identifiers 1

IdentifierTypeStateIssuer
7100141180MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110207000668 KY Practitioner - Nurse Practitioner 0547440646 Reassigns benefits to 2 organizations
I20130710000432 OH Practitioner - Nurse Practitioner 0547440646 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COA.14429-NPOHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 23, 2023 Accepting new patients
SHC Medical Partners of Kentucky, LLC Past Accepting new patients
Critical Stress & Wellness Center, LLC Psychiatric/Mental Health Past Accepting new patients
Access Wellness Group PastSince Apr 23, 2012 Accepting new patients
Lexington Primary Care LLC PastSince Jan 5, 2004 Accepting new patients
Alc Resources LLC Psychiatric/Mental Health Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1053621334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 5 MILE RD STE 305",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452302188",
            "telephone_number": "513-232-3500",
            "fax_number": "513-624-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 5 MILE RD STE 305",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452302188",
            "telephone_number": "513-232-3500",
            "fax_number": "513-624-2704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Burnet Ave",
            "address_2": "MLC 3014",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452293026",
            "country_code": "US",
            "telephone_number": "513-636-4788",
            "fax_number": "513-636-4283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7502 State Rd Ste 3310",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452552800",
            "country_code": "US",
            "telephone_number": "513-624-1240",
            "fax_number": "513-624-1290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOWATZ",
        "first_name": "DAWN",
        "middle_name": "MARII",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "COA.14429-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100141180",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.