Glenna Willis Lashley, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

18102 Issued in TN

Practice address

503 Westfield PL
Jasper, TN 37347-5144

Phone

(423) 939-0525

Fax

(423) 939-0378

NPI assigned

Aug 19, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Erlanger Behavioral Health, LLC

  • Psychiatric Hospital
  • Chattanooga, TN
  • NPI 1306354790

  TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1154637874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 WESTFIELD PL",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373475144",
            "telephone_number": "423-939-0525",
            "fax_number": "423-939-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 WESTFIELD PL",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373475144",
            "telephone_number": "423-939-0525",
            "fax_number": "423-939-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASHLEY",
        "first_name": "GLENNA",
        "middle_name": "WILLIS",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN173610 NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q015651",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasper Drugs LLC
• Jasper Medical Center
• Frances Elizabeth Jones, LPC MHSP
• Mary Elisabeth Jordan, FNP-C
• Patricia Kaye
• Lassiter Emergency Group LLC
• Taylor Lenard
• Dennis J Leonard, MD
• Richard Lawrence Levine, MD
• Makhni Cardiology and Medical Associates PA

• All providers in Jasper, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.