Active NPI
Tamara Gladney
- Licensed Vocational Nurse
- Temple, TX
National Provider Identifier
1053892984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 229070
- Practice address
- 2305 Birdcreek Ter
Temple, TX 76502-1047 - Phone
- (254) 771-0852
- NPI assigned
- Aug 28, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 229070 | TX | Primary |
Addresses
Primary practice location
2305 Birdcreek Ter
Temple, TX 76502-1047
Mailing address
2305 Birdcreek Ter
Temple, TX 76502-1047
Phone (254) 771-0852
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164X00000X | Medicaid | TX |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229070 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1053892984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 BIRDCREEK TER",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765021047",
"telephone_number": "254-771-0852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 BIRDCREEK TER",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765021047",
"telephone_number": "254-771-0852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADNEY",
"first_name": "TAMARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2022-03-08",
"certification_date": "2022-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "229070",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164X00000X",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.