Individual provider Active NPI

Theresa Lynn Glonning, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1124095302
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1349 Issued in AZ
Practice address
28635 N North Valley Pkwy
Phoenix, AZ 85085-5434
Phone
(623) 556-6973
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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 AP1349 AZ Primary

Addresses

Primary practice location

28635 N North Valley Pkwy
Phoenix, AZ 85085-5434

Mailing address

7849 W Ludlow Dr
Peoria, AZ 85381-4665
Phone (623) 556-6973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090609000616 AZ Practitioner - Nurse Practitioner 9638229818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Physician Specialists Arizona LLCGroup PAC ID 6204002272, 371 clinicians

Practice addresses (Care Compare)

13943 N 91St Ave
Suite B101
Peoria, AZ 85381-3688
Phone (623) 476-5190

Hospital & facility affiliations

  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1349AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Physician Specialists LLC CurrentSince Sep 30, 2018 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Sep 30, 2018 Accepting new patients
Banner Physician Specialists Arizona LLC Current Accepting new patients

Locations

10150 N 67th Ave
Ste 101
Glendale, AZ 85302
Phone (623) 561-4547

13943 N 91st Ave
Ste B101
Peoria, AZ 85381
Phone (623) 476-5190

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1124095302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7849 W LUDLOW DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814665",
            "telephone_number": "623-556-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28635 N NORTH VALLEY PKWY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850855434",
            "telephone_number": "623-556-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLONNING",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP1349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.