Individual provider Active NPI

Pamela Jane Glaser, CNP

  • Primary Care Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1073114146
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN.CNP.0027670 Issued in OH
Practice address
3328 Westbourne Dr
Cincinnati, OH 45248-5133
Phone
(513) 922-2204
NPI assigned
Nov 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.0027670 OH Primary

Addresses

Primary practice location

3328 Westbourne Dr
Cincinnati, OH 45248-5133

Mailing address

3328 Westbourne Dr
Cincinnati, OH 45248-5133
Phone (513) 922-2204

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Cincinnati Other

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
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0027670OHMDPrimary Care Nurse Practitioner

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9795/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1073114146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 WESTBOURNE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452485133",
            "telephone_number": "513-922-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3328 WESTBOURNE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452485133",
            "telephone_number": "513-922-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER",
        "first_name": "PAMELA",
        "middle_name": "JANE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.0027670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cincinnati",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Cincinnati",
            "address_1": "3328 Westbourne Dr",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452485133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.