Individual provider Active NPI

Patricia Hazel Glazier, NP

  • Family Nurse Practitioner
  • Hillsboro, OR
National Provider Identifier
1083853931
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
077038633N1 FNP-PP Issued in OR
Practice address
4660 NE Belknap CT
Suite 109
Hillsboro, OR 97124-6467
Phone
(503) 693-1944
Fax
(503) 693-1941
NPI assigned
Feb 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 077038633N1 FNP-PP OR Primary

Addresses

Primary practice location

4660 NE Belknap CT
Suite 109
Hillsboro, OR 97124-6467

Mailing address

PO Box 1719
Hillsboro, OR 97123-1719
Phone (503) 352-3854

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
077038633N1 FNP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsboro Advanced Surgical Care PC PastSince Mar 18, 2005 Accepting new patients
Northwest Gynecology Associates,LLC PastSince Jul 16, 2004 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1083853931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1719",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971231719",
            "telephone_number": "503-352-3854",
            "fax_number": "503-924-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 NE BELKNAP CT",
            "address_2": "SUITE 109",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246467",
            "telephone_number": "503-693-1944",
            "fax_number": "503-693-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZIER",
        "first_name": "PATRICIA",
        "middle_name": "HAZEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "077038633N1 FNP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.