Jerry Edward Glattfelt, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

041-232449 Issued in IL

Practice address

100 Bodin Cir
60 TH MSGS/Sgcsa
Travis Afb, CA 94535-1804

Phone

(707) 423-5370

NPI assigned

Nov 11, 2005

Sex

Male

Sole proprietor

No

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

Enrolled in FL, CO2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anesthesia Physician Solutions of South Florida, LLC

  • Anesthesiology Physician
  • Miami, FL
  • NPI 1104248699

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesiologists of Greater Orlando Inc

  • Anesthesiology Physician
  • Orange City, FL
  • NPI 1457300998

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• CPR Anesthesia, Inc

  • Anesthesiology Physician
  • Aurora, CO
  • NPI 1326436353

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Okeechobee, FL
  • NPI 1629781711

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• St Lucie Anesthesia Associates LLC

  • Anesthesiology Physician
  • Boca Raton, FL
  • NPI 1700044252
  Medicare reassignment NPD
• Anesthesia Physician Solutions of South Florida, LLC

  • Anesthesiology Physician
  • Tamarac, FL
  • NPI 1366864852

  Nurse Anesthetist, Certified Registered

  NPD
• Anesthesia Physician Solutions of South Florida, LLC

  • Anesthesiology Physician
  • Port St Lucie, FL
  • NPI 1437823507

  Nurse Anesthetist, Certified Registered

  NPD
• Anesthesiologists of Greater Orlando Inc

  • Anesthesiology Physician
  • Altamonte Springs, FL
  • NPI 1730751108
  NPD
• Anesthesiologists of Greater Orlando Inc

  • Anesthesiology Physician
  • Lake Mary, FL
  • NPI 1992524706

  Nurse Anesthetist, Certified Registered

  NPD
• Sheridan Healthcorp Inc

  • Anesthesiology Physician
  • Ft Lauderdale, FL
  • NPI 1821071960

  Nurse Anesthetist, Certified Registered

  NPD
• Sheridan Healthcorp, Inc.

  • Anesthesiology Physician
  • North Miami Beach, FL
  • NPI 1578429460
  NPD
• St. Lucie Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Boca Raton, FL
  • NPI 1851252902
  NPD

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1073594461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 PARK LN",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945852878",
            "telephone_number": "707-428-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BODIN CIR",
            "address_2": "60 TH MSGS/SGCSA",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351804",
            "telephone_number": "707-423-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLATTFELT",
        "first_name": "JERRY",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041-232449",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209-003657 APN LICEN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaun Michael Gifford, M.D.
• Kristin L Giles
• Yardana Gill, FNP
• Joseph Albert Giovannini, M.D.
• Marvin Glass Jr., PHD
• Adriane Glidewell, PA-C
• Andrew Glidewell, PA-C
• Elizabeth Ann Glueckert, LMSW
• Chris K Gold, MD
• Eric Andrew Gonzales, CRNA

• Certified Registered Nurse Anesthetist in Travis Afb, CA
• Providers in Travis Afb, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.