Jospeh W Glenn, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

A02941 Issued in AR

Practice address

9040 Jackson Ave
Madigan Army Medical Center WTB Clinic
Tacoma, WA 98431-5000

Phone

(785) 239-7582

Fax

(785) 239-7364

NPI assigned

Apr 22, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1063739621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33194",
            "city": "FORT LEWIS",
            "state": "WA",
            "postal_code": "984330194",
            "telephone_number": "216-702-6833",
            "fax_number": "253-968-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "address_2": "MADIGAN ARMY MEDICAL CENTER WTB CLINIC",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984315000",
            "telephone_number": "785-239-7582",
            "fax_number": "785-239-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "JOSPEH",
        "middle_name": "W",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-22",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A02941",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "COA 09013-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Richard Gleisner, DDS
• Amy M Glenn, ARNP
• Audrey A. Glenn, PH.D.
• Barbie Andria Glenn
• Janet Marie Glenn, L. AC
• Thomas William Glenn, RN
• Jenna Glenzel
• George F Gleva, M.D.
• Elena Alex Gleyzer
• Roman Gleyzer

• Adult Health Nurse Practitioner in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Adult Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.