Titan James Glasford

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

P013843 Issued in SD

Practice address

2000 S Summit Ave
Sioux Falls, SD 57105-2727

Phone

(605) 335-8956

NPI assigned

Jun 23, 2022

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Southeastern Behavioral Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1114002573
  NPD
• Southeastern Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Sioux Falls, SD
  • NPI 1689948317
  NPD (past)

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1346971934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S SUMMIT AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S SUMMIT AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052727",
            "telephone_number": "605-335-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASFORD",
        "first_name": "TITAN",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SD",
            "license": "P013843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacie Gittings
• Brandi Leann Gjoni, CNP
• Adam David Glanzer, DO
• Amanda Glanzer
• Branden Nickolas Glaser, NR-P
• Gina M Glasoe, SLP
• Lee S Glasoe, OTR/L, CHT
• Delayne Elizabeth Glassgow
• Dennis Glatt, MD
• Lauren Glazier, CSW-PIP, QMHP

• Licensed Practical Nurse in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Licensed Practical Nurse in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.