Jennifer L Glen, DNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5375694 Issued in KS

Practice address

2265 S. Ninth St
Dba Salina Regional Urgent Care
Salina, KS 67401

Phone

(785) 452-6000

Fax

(785) 452-6591

NPI assigned

Jun 2, 2008

Last updated

Dec 2, 2016By 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 4

Addresses

Other identifiers 2

Other names 1

• Jennifer L Michalski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1306005624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 S. NINTH ST",
            "address_2": "DBA SALINA REGIONAL URGENT CARE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-452-6000",
            "fax_number": "785-452-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 S. NINTH ST",
            "address_2": "DBA SALINA REGIONAL URGENT CARE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-452-6000",
            "fax_number": "785-452-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "5375694",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2005033658",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2005033658",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "1499928",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201119710A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "068002336",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MICHALSKI",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wendy Lee Gibson, PMHNP
• Warkim R Giles, CRNA
• John Nelson Gillam, DDS
• Eric Dwight Gillberg, ATC
• Amy Gish
• Courtney Marie Goad, LMSW
• Jane Gockel, LSCSW
• Jennifer Gold, LAC
• Richard Gomendoza, M.D.
• Asia Helen Marie Gomes

• Nurse Practitioner in Salina, KS
• Providers in Salina, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.