Shanae Ebony Glass

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2580 North Rancho
Suite 105-106
North Las Vegas, NV 89032

Phone

(702) 475-4175

NPI assigned

Feb 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1164055919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4361 APONTE ST APT 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891151632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 NORTH RANCHO",
            "address_2": "SUITE 105-106",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89032",
            "telephone_number": "702-475-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "SHANAE",
        "middle_name": "EBONY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285923185",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naya Givens
• Shakori Unique Givens
• Shawond Nicole Givens
• Jacqueline Glasper-Sattwhite, BS,MBA,LCSW
• Courtney Glass, AU.D.
• Sherrie Glass
• Venus M Glass
• Leslie Glaze
• Jayme A Glick, MSW
• Sophie Lee Glidden Bollum

• Case Manager/Care Coordinator in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Case Manager/Care Coordinator in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.