Heidi Glover, HEIDI GLOVER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

226121 Issued in MA

Practice address

55 Lake Ave North Dept. of Pedi-Adolescent
Ummc University Campus
Worcester, MA 01655

Phone

(744) 442-5624

NPI assigned

Dec 4, 2012

Last updated

Dec 4, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Heidi Glover Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1073858981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE NORTH DEPT. OF PEDI-ADOLESCENT",
            "address_2": "U MASS MEMORIAL MEDICAL CENTER, UNIVERSITY CAMPUS,",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01655",
            "telephone_number": "744-442-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LAKE AVE NORTH DEPT. OF PEDI-ADOLESCENT",
            "address_2": "UMMC UNIVERSITY CAMPUS",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01655",
            "telephone_number": "744-442-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "HEIDI",
        "credential": "HEIDI GLOVER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "226121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "GLOVER",
            "credential": "FNP BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kellie M. Glenn, PA-C
• Richard H Glew, M.D.
• Caitlin Glick, CNP
• Global Care HHA, LLC
• Global Community Comprehensive Psychiatric Care
• Kristen Marie Glover
• Jeffrey S. Glynn, RN
• Molly K Glynn, PA-C
• Melanie M Gnazzo, MD
• Monica A Gobran, D.M.D.

• Family Nurse Practitioner in Worcester, MA
• Providers in Worcester, MA by specialty
• Family Nurse Practitioner in Massachusetts

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