Active NPI
Carol D Glismann, WHNP BC
- Women's Health Nurse Practitioner
- Leesburg, VA
National Provider Identifier
1093021537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 0024167659
- Practice address
- 821 S King St Ste H
Leesburg, VA 20175-3922 - Phone
- (703) 777-6550
- NPI assigned
- Aug 22, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 0024167659 | VA | Primary |
Addresses
Primary practice location
821 S King St Ste H
Leesburg, VA 20175-3922
Mailing address
221 Cardinal Glen Cir
Sterling, VA 20164-5516
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024167659 | VA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1093021537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 CARDINAL GLEN CIR",
"city": "STERLING",
"state": "VA",
"postal_code": "201645516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 S KING ST STE H",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201753922",
"telephone_number": "703-777-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLISMANN",
"first_name": "CAROL",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "WHNP BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-22",
"last_updated": "2024-01-11",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "VA",
"license": "0024167659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.