Glenda'S CD Service

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GLENDA'S CD SERVICE

Practice address

901 Graceland Dr
Bassett, VA 24055-3564

Phone

(276) 952-8693

NPI assigned

Jan 30, 2017

Organization subpart

No

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

Authorized official

Name

Glenda Bernice Mitchell

Title

Service Facilitator

Phone

(276) 952-8693

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1053858951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 GRACELAND DR",
            "city": "BASSETT",
            "state": "VA",
            "postal_code": "240553564",
            "telephone_number": "276-952-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 GRACELAND DR",
            "city": "BASSETT",
            "state": "VA",
            "postal_code": "240553564",
            "telephone_number": "276-952-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDA'S CD SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "BERNICE",
        "authorized_official_title_or_position": "SERVICE FACILITATOR",
        "authorized_official_telephone_number": "276-952-8693"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Elaine Flippin, MSN, APRN, FNP-C
• Lacinda Ann Foley, FNP
• Elizabeth W Frith, NP
• Aleta Gibbs, PHD, LPC, LSATP
• Desiree Gilbert
• Amber Gordon, CCC-SLP
• Bethany L Gravely
• Dane Matthew Gravely, PTA
• John Albert Hagy Sr., M.D.
• Marjorie Denise Handy, LPC

• Case Management Agency in Bassett, VA
• Providers in Bassett, VA by specialty
• Case Management Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.