Carrie Alice Glenn, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

330377 Issued in CA

Practice address

2629 Loma Vista Rd
Ventura, CA 93003-1548

Phone

(805) 641-1780

Fax

(805) 641-1782

NPI assigned

Jun 2, 2010

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1235459124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031548",
            "telephone_number": "805-641-1780",
            "fax_number": "805-641-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031548",
            "telephone_number": "805-641-1780",
            "fax_number": "805-641-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "CARRIE",
        "middle_name": "ALICE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "330377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren H Giss, OD
• Randal Harmin Glaser, PT, DPT
• Christian Michael Glasgow, LMFT
• Jacqueline Priscilla Glavan
• Glenn Kawaguchi OD Inc
• Christine Michell Glenn, RN,BSN
• Patrick Glispey, CADC II
• Globerman Physical Therapy Inc
• Esther Anav Globerman, PT
• Gabriel Gluck, M.D.

• Family Nurse Practitioner in Ventura, CA
• Providers in Ventura, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.