Janice S Glenn, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

08593R Issued in LA

Practice address

2600 Belle Chasse Highway
Suite 201 a
Gretna, LA 70056-7156

Phone

(504) 391-1087

Fax

(504) 391-1073

NPI assigned

Jul 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Janice S. Glenn, M.D. Ampc

  • Family Medicine Physician
  • Gretna, LA
  • NPI 1104964758

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326052911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 BELLE CHASSE HIGHWAY",
            "address_2": "SUITE 201 A",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567156",
            "telephone_number": "504-391-1087",
            "fax_number": "504-391-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 BELLE CHASSE HIGHWAY",
            "address_2": "SUITE 201 A",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567156",
            "telephone_number": "504-391-1087",
            "fax_number": "504-391-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "JANICE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "08593R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl Wesley Gibson, RPH
• Tammie V Gibson, DC
• Kassie Marie Gill, DNP, APRN, FNP-C
• Geoffrey Gillen, M.D.
• Denise Antwainette Gilstrap, LPC, NCC
• Amanda Richard Goldberg, MN, APRN, FNP-C
• Kia Renee Golden, FNP
• Jarett Gongora
• Stephen Goodwin, MD
• Portia Gordon

• Family Medicine Physician in Gretna, LA
• Providers in Gretna, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.