Active NPI
Tracy Lynn Glascoe, PA
- Physician Assistant
- Washington, DC
National Provider Identifier
1225064157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0003239
- Practice address
- 6900 Georgia Ave NW
Washington, DC 20307-0003 - Phone
- (202) 782-6369
- NPI assigned
- Jun 23, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0003239 | MD | Primary |
Addresses
Primary practice location
6900 Georgia Ave NW
Washington, DC 20307-0003
Mailing address
1015 Treeland Way
Upper Marlboro, MD 20774
Phone (301) 249-3501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225064157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 TREELAND WAY",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "20774",
"telephone_number": "301-249-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 GEORGIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "203070003",
"telephone_number": "202-782-6369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASCOE",
"first_name": "TRACY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0003239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.