Organization Active NPI

Janice S. Glenn, M.D. Ampc

  • Family Medicine Physician
  • Gretna, LA
National Provider Identifier
1104964758
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.08593R Issued in LA
Legal business name
JANICE S. GLENN, M.D. AMPC
Practice address
2600 Belle Chasse Highway Ste 201a
Gretna, LA 70056-7156
Phone
(504) 391-1087
Fax
(504) 391-1073
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Janice S Glenn, M.D.NPI 1326052911
Title
President
Phone
(504) 391-1087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD.08593R LA Primary

Addresses

Primary practice location

2600 Belle Chasse Highway Ste 201a
Gretna, LA 70056-7156

Mailing address

2600 Belle Chasse Highway Ste 201a
Gretna, LA 70056-7156
Phone (504) 391-1087

Other identifiers 1

IdentifierTypeStateIssuer
1910104MedicaidLA

National Provider Directory

National Provider Directory

Locations

2600 Belle Chasse Hwy
Ste 201A
Terrytown, LA 70056
Phone (504) 391-1087

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104964758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 BELLE CHASSE HIGHWAY STE 201A",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567156",
            "telephone_number": "504-391-1087",
            "fax_number": "504-391-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 BELLE CHASSE HIGHWAY STE 201A",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567156",
            "telephone_number": "504-391-1087",
            "fax_number": "504-391-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANICE S. GLENN, M.D. AMPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-391-1087",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.08593R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1910104",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.