Individual provider Active NPI

Lynne Glaser, RNP

  • Nurse Practitioner
  • Cumberland, RI
National Provider Identifier
1275520694
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NPP25135 Issued in RI
Practice address
525 Broad St
Suite 103
Cumberland, RI 02864-6933
Phone
(401) 726-1048
Fax
(401) 724-0896
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NPP25135 RI Primary

Addresses

Primary practice location

525 Broad St
Suite 103
Cumberland, RI 02864-6933

Mailing address

525 Broad St
Suite 103
Cumberland, RI 02864-6933
Phone (401) 726-1048

Other identifiers 2

IdentifierTypeStateIssuer
405753OtherRIBLUECHIP
8002920MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080702000116 RI Practitioner - Nurse Practitioner 5890705826 Reassigns benefits to 3 organizations
I20240913003069 FL Practitioner - Nurse Practitioner 5890705826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians
Supportive Care I of Rhode Island PCGroup PAC ID 1951793546, 53 clinicians

Practice addresses (Care Compare)

1 Dawn HL
Bristol, RI 02809-3903
Phone (401) 253-2300

17 Adelphi Ave
Providence, RI 02906-4119
Phone (718) 298-4375

280 High St
Westerly, RI 02891-1748
Phone (401) 348-0020

4000 Post Rd
Warwick, RI 02886-9200
Phone (401) 884-8020

455 Douglas Ave
Providence, RI 02908-2542
Phone (401) 553-8600

560 Cumberland Hill Rd
Woonsocket, RI 02895-5635
Phone (401) 769-0800

7 Creek LN
Bristol, RI 02809-2401
Phone (401) 253-3000

80 Morgan Ave
Johnston, RI 02919-6725
Phone (401) 944-7800

860 N Quidnessett Rd
North Kingstown, RI 02852-1000
Phone (401) 884-1802

Hospital & facility affiliations

  • Life Care Center of Pensacola Nursing home, Pensacola, FL, CCN 106073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Specialists, LLC CurrentSince Aug 29, 2024 Accepting new patients
Supportive Care I of Rhode Island PC CurrentSince May 10, 2022 Accepting new patients
Christine Richards LLC PastSince Jul 1, 2021 Accepting new patients

Locations

1290 Celebration Blvd
Kissimmee, FL 34747
Phone (321) 337-7400

10095 Hillview Dr
Pensacola, FL 32514
Phone (850) 479-4000

27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

660 Commonwealth Ave
Warwick, RI 02886
Phone (401) 691-4511

560 Cumberland Hill Rd
Woonsocket, RI 02895
Phone (401) 769-0800

9825 S Jordan Gtwy
Sandy, UT 84070

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1275520694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 BROAD ST",
            "address_2": "SUITE 103",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028646933",
            "telephone_number": "401-726-1048",
            "fax_number": "401-724-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BROAD ST",
            "address_2": "SUITE 103",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028646933",
            "telephone_number": "401-726-1048",
            "fax_number": "401-724-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASER",
        "first_name": "LYNNE",
        "credential": "RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "NPP25135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "405753",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8002920",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, RI

Sources for this page

Verify at the official NPI Registry.