Rachel T Glaze, CNM, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN149595 Issued in GA

Practice address

450 Clarence King Pkwy
Calhoun, GA 30701-3628

Phone

(706) 624-3695

Fax

(706) 624-3694

NPI assigned

May 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

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.

• Evernorth Direct Health LLC

  • Clinic/Center
  • Calhoun, GA
  • NPI 1083325146
  NPD (past)
• Evernorth Direct Health LLC

  • Non-Pharmacy Dispensing Site
  • Calhoun, GA
  • NPI 1649563230
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1144487646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARENCE KING PKWY",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307013628",
            "telephone_number": "706-624-3695",
            "fax_number": "706-624-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARENCE KING PKWY",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307013628",
            "telephone_number": "706-624-3695",
            "fax_number": "706-624-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZE",
        "first_name": "RACHEL",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "CNM, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN149595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Mental Health and Addictions LLC
• Georgia Pain Physicians PC
• Georgia Pain Physicians, PC
• Aylissa Victoria Gilbert
• Rhonda Gilbert, NP-C
• Anne-Marie Goble, NP
• Bradley Eugene Goff, M.D.
• Golden Peak Property Group
• Golden Peak Senior Living Corp
• Jose E Gomez, M.D.

• Family Nurse Practitioner in Calhoun, GA
• Providers in Calhoun, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.