Sandra Lee Glidden

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

102493 Issued in AK

Practice address

141 W Pioneer Ave
Homer, AK 99603-7525

Phone

(907) 235-7146

Fax

(907) 235-7186

NPI assigned

Sep 27, 2021

Last updated

Sep 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinic of Chiropractic Health, LLC

  • Internist Chiropractor
  • Homer, AK
  • NPI 1295272854

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1205507480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W PIONEER AVE",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037525",
            "telephone_number": "907-235-7146",
            "fax_number": "907-235-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 W PIONEER AVE",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037525",
            "telephone_number": "907-235-7146",
            "fax_number": "907-235-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIDDEN",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "102493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AKDL",
            "identifier": "0220653",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chiro@xyz.net",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Clinic of Chiropractic Health, LLC",
            "address_1": "141 W Pioneer Ave",
            "city": "Homer",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996037525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Threeton Gasper, M.S. CCC-SLP
• Carey Brent Gear, MD
• Marilyn Gentry
• Dina Gherman
• Kimberly Glaspell
• Global Sleep Solutions, LLC
• Jennifer Godbold, DNP, CNM
• Maggie Goedeke, DPT
• Sharon Marie Gorman, ANP
• Vincent Pridemore Greear, RPH

• Massage Therapist in Homer, AK
• Providers in Homer, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.