Active NPI
Amy Gleason, RN
- Registered Nurse
- Northampton, MA
National Provider Identifier
1356192033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN169630
- Practice address
- 29 Industrial Dr E
Northampton, MA 01060-2351 - Phone
- (413) 835-4630
- Fax
- (413) 584-0807
- NPI assigned
- Mar 29, 2024
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN169630 | MA | Primary |
Addresses
Primary practice location
29 Industrial Dr E
Northampton, MA 01060-2351
Mailing address
8 Atwood Dr FL 3
Northampton, MA 01060-4266
Phone (413) 773-1314
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN169630 | MA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical & Support Options, Inc. | 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.
-
- Respite Care Camp
- Northampton, MA
- NPI 1710828611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1356192033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 ATWOOD DR FL 3",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010604266",
"telephone_number": "413-773-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 INDUSTRIAL DR E",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602351",
"telephone_number": "413-835-4630",
"fax_number": "413-584-0807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEASON",
"first_name": "AMY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-29",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN169630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.