Individual provider Active NPI

Christina Marie Glauber, NP

  • Adult Health Nurse Practitioner
  • Stony Brook, NY
National Provider Identifier
1235535410
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F311297 Issued in NY
Practice address
101 Nicholls Rd HSC Level 3
Stony Brook, NY 11794-1857
Phone
(631) 444-7767
Fax
(631) 444-6199
NPI assigned
Nov 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 689309-1 NY
Adult Health Nurse Practitioner 363LA2200X F311297 NY Primary

Addresses

Primary practice location

101 Nicholls Rd HSC Level 3
Stony Brook, NY 11794-1857

Mailing address

3 Fairview St
Mastic, NY 11950-1807
Phone (631) 444-8128

Other practice location 1

14 Bellemeade Ave
Smithtown, NY 11787-1857
Phone (631) 265-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
689309-1NYMDRegistered Nurse
F311297NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Nursing Registry, Inc. Past Accepting new patients
Christian Nursing Registry Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1235535410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FAIRVIEW ST",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119501807",
            "telephone_number": "631-444-8128",
            "fax_number": "631-337-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NICHOLLS RD HSC LEVEL 3",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117941857",
            "telephone_number": "631-444-7767",
            "fax_number": "631-444-6199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Bellemeade Ave",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117871857",
            "country_code": "US",
            "telephone_number": "631-265-5300",
            "fax_number": "631-265-5789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLAUBER",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "689309-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.