J-Lyn M Glenn, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA60181857 Issued in WA

Practice address

2401 Bristol CT SW Ste 101
Olympia, WA 98502-6003

Phone

(360) 451-5337

NPI assigned

Oct 5, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1225347404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 KIWI CT NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024477",
            "telephone_number": "360-451-5337",
            "fax_number": "360-357-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BRISTOL CT SW STE 101",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985026003",
            "telephone_number": "360-451-5337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 Black Lake Blvd SW Ste 103",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985125619",
            "country_code": "US",
            "telephone_number": "360-451-5337",
            "fax_number": "360-357-4880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLENN",
        "first_name": "J-LYN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA60181857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Gipson, VA60681359
• April Giraud, OTR/L
• Nicole Antje Giron, MA, LMHC
• Shannon Joseph-Valentino Givens
• Samuel Nathaniel Glasser, RN
• Marta Campbell Glenn, LMP
• Holly Glennon, RN, LMP, CERTIFIED R
• Seth Glover, LMT
• GN Hearing Care Corp (Beltone Electronics)
• Juanita Michelle Gober, MIDWIFE, CPM, LM

• Specialist in Olympia, WA
• Providers in Olympia, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.