Active NPI
Patricia M Glass, NNP
- Neonatal Nurse Practitioner
- Falls Church, VA
National Provider Identifier
1295031961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 0024169122
- Practice address
- 3300 Gallows Road
Falls Church, VA 22042 - Phone
- (703) 776-6020
- Fax
- (703) 776-6058
- NPI assigned
- Jan 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 0024169122 | VA | Primary |
Addresses
Primary practice location
3300 Gallows Road
Falls Church, VA 22042
Mailing address
2730-B Prosperity Avenue
Fairfax, VA 22031
Phone (703) 289-1400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024169122 | VA | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296432000000",
"number": "1295031961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730-B PROSPERITY AVENUE",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "22031",
"telephone_number": "703-289-1400",
"fax_number": "703-289-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 GALLOWS ROAD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "22042",
"telephone_number": "703-776-6020",
"fax_number": "703-776-6058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "PATRICIA",
"middle_name": "M",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-28",
"last_updated": "2011-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "VA",
"license": "0024169122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.