Individual provider Active NPI

Nancy Anne Glidden-White, OTR

  • Occupational Therapist
  • Seattle, WA
National Provider Identifier
1346236262
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00003073 Issued in WA
Practice address
1850 Boyer Ave E
Seattle, WA 98112-2922
Phone
(206) 325-8477
Fax
(206) 323-1385
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT00003073 WA Primary

Addresses

Primary practice location

1850 Boyer Ave E
Seattle, WA 98112-2922

Mailing address

1850 Boyer Ave E
Seattle, WA 98112-2922
Phone (206) 325-8477

Other names 1

  • Nancy Anne Glidden Former name

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

State licenses

LicenseStateTypeSpecialty
OT00003073WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boyer Children'S Clinic Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1346236262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 BOYER AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981122922",
            "telephone_number": "206-325-8477",
            "fax_number": "206-323-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 BOYER AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981122922",
            "telephone_number": "206-325-8477",
            "fax_number": "206-323-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIDDEN-WHITE",
        "first_name": "NANCY",
        "middle_name": "ANNE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00003073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "GLIDDEN",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.