Individual provider Active NPI

Kerri Glover, RN

  • Family Nurse Practitioner
  • Harahan, LA
National Provider Identifier
1336884667
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
225800 Issued in LA
Practice address
822 S Clearview Pkwy
Harahan, LA 70123-3401
Phone
(504) 736-7386
NPI assigned
May 2, 2022
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN108874 LA
Family Nurse Practitioner 363LF0000X 225800 LA Primary

Addresses

Primary practice location

822 S Clearview Pkwy
Harahan, LA 70123-3401

Mailing address

1 Rhine Dr
Kenner, LA 70065-1129
Phone (504) 417-5959

Other practice location 1

3813 Williams Blvd
Kenner, LA 70065-3007
Phone (504) 443-5437

Other identifiers 1

IdentifierTypeStateIssuer
1701033MedicaidLA

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
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN108874LAMDSchool Registered Nurse
225800LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Y Brown MD Apmc Past Accepting new patients
Samuel Y. Brown Apmc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1336884667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RHINE DR",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700651129",
            "telephone_number": "504-417-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S CLEARVIEW PKWY",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701233401",
            "telephone_number": "504-736-7386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3813 Williams Blvd",
            "address_purpose": "LOCATION",
            "city": "Kenner",
            "state": "LA",
            "postal_code": "700653007",
            "country_code": "US",
            "telephone_number": "504-443-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "KERRI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "LA",
            "license": "RN108874",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "225800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1701033",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harahan, LA

Sources for this page

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