Active NPI
Elizabeth Kathleen Gloor, FNP
- Family Nurse Practitioner
- Groton, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2002015426
- Practice address
- 1 Wahoo Dr
Naval Branch Health Clinic
Groton, CT 06349-5600 - Phone
- (860) 694-2377
- NPI assigned
- Jul 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2002015426 | MO | Primary |
Addresses
Primary practice location
1 Wahoo Dr
Naval Branch Health Clinic
Groton, CT 06349-5600
Mailing address
72 Thames Height LN
Groton, CT 06340-2857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002015426 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Health Weight Management, LLC | Current | Accepting new patients |
Locations
620 W Macphail Rd
Ste 102
Bel Air, MD 21014
Phone (443) 819-3648
6700 Race Track Rd
Bowie, MD 20715
Phone (301) 383-2581
499 Idlewild Ave
Ste 104
Easton, MD 21601
Phone (410) 697-3832
1099 Winterson Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 929-1785
1350 Blair Dr
Ste F
Odenton, MD 21113
Phone (443) 230-3956
532 Baltimore Blvd
Ste 101
Westminster, MD 21157
Phone (667) 367-2778
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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 Medicine Physician
- Linthicum Heights, MD
- NPI 1013785971
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1346552742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 THAMES HEIGHT LN",
"city": "GROTON",
"state": "CT",
"postal_code": "063402857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WAHOO DR",
"address_2": "NAVAL BRANCH HEALTH CLINIC",
"city": "GROTON",
"state": "CT",
"postal_code": "063495600",
"telephone_number": "860-694-2377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOOR",
"first_name": "ELIZABETH",
"middle_name": "KATHLEEN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2002015426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Groton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.