Adelina Marie Glenn, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP00056506 Issued in WA

Practice address

1000 W 4TH Ave
Kennewick, WA 99336-5533

Phone

(509) 222-5000

NPI assigned

Nov 7, 2023

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

Other names 1

• Addy Marie Glenn Other name

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": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1285408641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 4TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365533",
            "telephone_number": "509-222-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W 4TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365533",
            "telephone_number": "509-222-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "ADELINA",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00056506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADDY",
            "last_name": "GLENN",
            "middle_name": "MARIE",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anya Glandon, NP
• Skyler Glatt, LICSW
• Emma Jeffriene Glazier
• Lance W Gledhill, DDS
• Timothy C Gleeson, MD
• Mark Thomas Glesener
• Eva Bereniz Godinez-Duenas
• Shyla Jane Godinez
• Kimberly Ruth Goering, BSN RNALABAMA
• Hannah Louise Goff

• Licensed Practical Nurse in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.