Camilla Glenn, MSN, RN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP129877 Issued in TX

Practice address

1120 W Loop 289 Ste 230
Lubbock, TX 79416-4534

Phone

(068) 744-8600

Fax

(806) 744-0072

NPI assigned

Feb 15, 2016

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: camilla.glenn@402756199579652.direct.elationemr.com

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.

• South Plains Surgical Associates

  • Surgery Physician
  • Lubbock, TX
  • NPI 1558480483
  NPD

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1295194538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W LOOP 289 STE 230",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164534",
            "telephone_number": "806-744-8600",
            "fax_number": "806-782-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W LOOP 289 STE 230",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164534",
            "telephone_number": "068-744-8600",
            "fax_number": "806-744-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "CAMILLA",
        "credential": "MSN, RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "806-744-8600",
            "affiliation": "N",
            "address_1": "1120 W Loop 289 Ste 230",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794164534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenlie Kay Glass
• Carolyn Jane Glasser
• Myriam Glavash, D.M.D.
• Sarah Glawe, CCC-SLP
• Darla F Gleaves, L.A.T.
• Leslie D Glenn, LPT
• Mandy Wilson Glikas, DNP, FNP
• Global Sleep North Texas LP
• Glorious Home Style Care,LLC
• Lauren Glover, MD

• Family Nurse Practitioner in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.