Organization Active NPI

Glass Medical, LLC

  • Obesity Medicine (Internal Medicine) Physician
  • Joplin, MO
National Provider Identifier
1205748878
Registry record updated Sep 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
Legal business name
GLASS MEDICAL, LLC
Practice address
2011 E 32ND St Ste a
Joplin, MO 64804-3018
Phone
(816) 803-5615
NPI assigned
Sep 19, 2026
Last updated
Sep 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2026

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

Authorized official

Name
Amanda Harrell, DO FACP DABOM
Title
Owner and Ceo
Phone
(816) 803-5615

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RB0002X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

2011 E 32ND St Ste a
Joplin, MO 64804-3018

Mailing address

303 Fox Ridge Dr
Joplin, MO 64801-6680

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789776000000",
    "number": "1205748878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 FOX RIDGE DR",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648016680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 E 32ND ST STE A",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043018",
            "telephone_number": "816-803-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASS MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-19",
        "last_updated": "2026-09-19",
        "certification_date": "2026-09-18",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "816-803-5615",
        "authorized_official_credential": "DO FACP DABOM"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2026; 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.