Active NPI
Glenn Temple, NNP
- Neonatal Nurse Practitioner
- Corpus Christi, TX
National Provider Identifier
1114988722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 249719
- Practice address
- 5920 Saratoga Blvd Ste 450
Corpus Christi, TX 78414-4124 - Phone
- (888) 258-3326
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 249719 | TX | Primary |
Addresses
Primary practice location
5920 Saratoga Blvd Ste 450
Corpus Christi, TX 78414-4124
Mailing address
5920 Saratoga Blvd Ste 450
Corpus Christi, TX 78414-4124
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | glenntemple@mhccaremail.com | Direct |
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 |
|---|---|---|---|
| 249719 | TX | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Neonatology, PLLC | 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.
-
- Neonatal-Perinatal Medicine Physician
- Corpus Christi, TX
- NPI 1801303979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1114988722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5920 SARATOGA BLVD STE 450",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784144124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 SARATOGA BLVD STE 450",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784144124",
"telephone_number": "888-258-3326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPLE",
"first_name": "GLENN",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "TX",
"license": "249719",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "glenntemple@mhccaremail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5920 Saratoga Blvd Ste 450",
"city": "Corpus Christi",
"state": "TX",
"country_code": "US",
"postal_code": "784144124",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.