Individual provider Active NPI

Selma Selena Gladney, MSOM, L.AC., LMT

  • Acupuncturist
  • Naperville, IL
National Provider Identifier
1063621340
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198.000930 Issued in IL
Practice address
932 N Wright St
Suite 120
Naperville, IL 60563-3600
Phone
(630) 428-9001
NPI assigned
May 22, 2007
Last updated
Mar 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198.000930 IL Primary
Massage Therapist 225700000X 227.005001 IL

Addresses

Primary practice location

932 N Wright St
Suite 120
Naperville, IL 60563-3600

Mailing address

1570 Avati LN
Unit D
Aurora, IL 60505-1647
Phone (630) 299-6754

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

LicenseStateTypeSpecialty
198.000930ILMDAcupuncturist
227.005001ILMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Emperor's Medicine LLC Acupuncturist CurrentSince Jan 1, 2023 Accepting new patients

Locations

932 N Wright St
Ste 120
Naperville, IL 60563
Phone (330) 461-2014

932 N Wright St
Ste 160
Naperville, IL 60563
Phone (630) 428-9001

Organizations & group practices 1

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1063621340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 AVATI LN",
            "address_2": "UNIT D",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605051647",
            "telephone_number": "630-299-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 N WRIGHT ST",
            "address_2": "SUITE 120",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633600",
            "telephone_number": "630-428-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADNEY",
        "first_name": "SELMA",
        "middle_name": "SELENA",
        "credential": "MSOM, L.AC., LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000930",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.005001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.