Active NPI
Wonda Jean Glasser, C.N.A.
- Home Health Aide
- Canon City, CO
National Provider Identifier
1073658787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 513342
- Practice address
- 510 N 19TH St Lot 48
Canon City, CO 81212-2467 - Phone
- (719) 252-6013
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 513342 | CO | Primary |
Addresses
Primary practice location
510 N 19TH St Lot 48
Canon City, CO 81212-2467
Mailing address
1460 Red Canyon Rd
P.O. Box 83
Canon City, CO 81212-8828
Phone (719) 252-6013
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 |
|---|---|---|---|
| 513342 | CO | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073658787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 RED CANYON RD",
"address_2": "P.O. BOX 83",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812128828",
"telephone_number": "719-252-6013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 N 19TH ST LOT 48",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812122467",
"telephone_number": "719-252-6013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASSER",
"first_name": "WONDA",
"middle_name": "JEAN",
"credential": "C.N.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "CO",
"license": "513342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.