Individual provider Active NPI

Elizabeth Kathleen Gloor, FNP

  • Family Nurse Practitioner
  • Groton, CT
National Provider Identifier
1346552742
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2002015426 Issued in MO
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

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231208001230 MD Practitioner - Nurse Practitioner 3072796945 Reassigns benefits to 1 organization
I20240314003620 DC Practitioner - Nurse Practitioner 3072796945 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2002015426MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Health Weight Management, LLC CurrentSince Feb 1, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.