Active NPI
Maria J Glad, MS. FNP-BC
- Family Nurse Practitioner
- Portland, ME
National Provider Identifier
1316345143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP101081
- Practice address
- 278 Veranda St
Portland, ME 04103 - Phone
- (207) 272-3138
- NPI assigned
- Dec 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | CNP101081 | ME | |
| Health Educator | 174H00000X | CNP101081 | ME | |
| Prevention Professional | 405300000X | CNP101081 | ME | |
| Family Nurse Practitioner | 363LF0000X | CNP101081 | ME | Primary |
Addresses
Primary practice location
278 Veranda St
Portland, ME 04103
Mailing address
260 Western Avenue
B
South Portland, ME 04106-2432
Phone (207) 272-3138
Other names 1
- Mrs. Maria Glad Rynkowski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
278 Veranda St
Portland, ME 04103-5536
Phone (207) 536-4948
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP101081 | ME | MD | Health Educator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gladhealth LLC | Family | Current | Accepting new patients |
Locations
260 Western Ave
#B
South Portland, ME 04106
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Portland, ME
- NPI 1407332968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1316345143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 WESTERN AVENUE",
"address_2": "B",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062432",
"telephone_number": "207-272-3138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "278 VERANDA ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04103",
"telephone_number": "207-272-3138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAD",
"first_name": "MARIA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "MS. FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-10",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "ME",
"license": "CNP101081",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "ME",
"license": "CNP101081",
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "ME",
"license": "CNP101081",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP101081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "RYNKOWSKI",
"middle_name": "GLAD",
"prefix": "MRS.",
"credential": "MS.FNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.