Individual provider Active NPI

Cortney R Glassman, APRN

  • Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1164972196
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11007604 Issued in FL
Practice address
45 Industrial Blvd Suite C
Pensacola, FL 32503-6322
Phone
(850) 290-8410
Fax
(866) 574-6391
NPI assigned
Oct 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 232807 SC
Nurse Practitioner 363L00000X APRN11007604 FL Primary

Addresses

Primary practice location

45 Industrial Blvd Suite C
Pensacola, FL 32503-6322

Mailing address

45 Industrial Blvd Suite C
Pensacola, FL 32503-1037
Phone (850) 290-8410

Other practice location 1

5130 Sunforest Dr Ste 200
Tampa, FL 33634-6322
Phone (657) 400-5180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210129000474 FL Practitioner - Nurse Practitioner 1557775731

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232807SCMDCommunity Health Registered Nurse

Interoperability endpoints

  • Direct secure messaging: ms_cglassma@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1164972196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 INDUSTRIAL BLVD SUITE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031037",
            "telephone_number": "850-290-8410",
            "fax_number": "866-290-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 INDUSTRIAL BLVD SUITE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325036322",
            "telephone_number": "850-290-8410",
            "fax_number": "866-574-6391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5130 Sunforest Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336346322",
            "country_code": "US",
            "telephone_number": "657-400-5180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASSMAN",
        "first_name": "CORTNEY",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "SC",
            "license": "232807",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11007604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.