Kathleen Zillner Glass, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F304889-1 Issued in NY

Practice address

12 Center St
Suite One
Fredonia, NY 14063-1769

Phone

(716) 679-2233

Fax

(716) 672-4163

NPI assigned

Sep 1, 2009

Last updated

May 1, 2014By the provider in NPPES

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

Certified Registered Nurse

State licenses

Practice roles

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

• Paul T Biddle MD PLLC

  • Anesthesiology Physician
  • Orchard Park, NY
  • NPI 1497909436
  NPD (past)
• University Urology Inc

  • Urology Physician
  • Buffalo, NY
  • NPI 1396704417
  NPD (past)

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1275766651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CENTER ST",
            "address_2": "SUITE ONE",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631769",
            "telephone_number": "716-679-2233",
            "fax_number": "716-672-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CENTER ST",
            "address_2": "SUITE ONE",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631769",
            "telephone_number": "716-679-2233",
            "fax_number": "716-672-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "KATHLEEN",
        "middle_name": "ZILLNER",
        "name_prefix": "Ms.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F304889-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ggg61 Corp (Concord Pharmacy)
• Gregory G Giambrone, RPH
• Garrett Gibson, PTA
• Michaela Adrianna Gibson, OTR/L
• Samantha Faye Gilmore, COTA
• Chelsea Marie Gray
• Jonelle Olivia Green, OD
• Kevin P Grzybowski, PHARMD
• Shawnna Gustafson
• Charles William Hannum, D.D.S.

• Adult Health Nurse Practitioner in Fredonia, NY
• Providers in Fredonia, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.