Individual provider Active NPI

Brandi A Glasscock, BSN, RN, NCSN

  • School Registered Nurse
  • Collinsville, OK
National Provider Identifier
1295616142
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
R0078651 Issued in OK
Practice address
2400 W Broadway St
Collinsville, OK 74021-1641
Phone
(918) 371-6195
Fax
(918) 371-6904
NPI assigned
Sep 9, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X R0078651 OK Primary

Addresses

Primary practice location

2400 W Broadway St
Collinsville, OK 74021-1641

Mailing address

2400 W Broadway St
Collinsville, OK 74021-1641
Phone (918) 371-6195

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R0078651OKMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1295616142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W BROADWAY ST",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740211641",
            "telephone_number": "918-371-6195",
            "fax_number": "918-371-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W BROADWAY ST",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740211641",
            "telephone_number": "918-371-6195",
            "fax_number": "918-371-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSCOCK",
        "first_name": "BRANDI",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN, NCSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "OK",
            "license": "R0078651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.