Active NPI
Gloria Elizabeth Garcia-Nunez
- Student in an Organized Health Care Education/Training Program
- Plymouth, IN
National Provider Identifier
1184462293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1277 Ed Cook Blvd
Plymouth, IN 46563-3702 - Phone
- (574) 767-0601
- NPI assigned
- Jul 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1277 Ed Cook Blvd
Plymouth, IN 46563-3702
Mailing address
3954 Marburg Ave FL 2
Cincinnati, OH 45209-1860
Phone (574) 767-0601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121390520999 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1184462293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3954 MARBURG AVE FL 2",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452091860",
"telephone_number": "574-767-0601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1277 ED COOK BLVD",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "465633702",
"telephone_number": "574-767-0601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA-NUNEZ",
"first_name": "GLORIA",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-15",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121390520999",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.