Active NPI
Velma Glass
- Case Manager/Care Coordinator
- Pensacola, FL
National Provider Identifier
1356768394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 6905397
- Practice address
- 4500 Havre Way
Pensacola, FL 32505-3024 - Phone
- (850) 438-5296
- Fax
- (850) 438-5296
- NPI assigned
- Mar 27, 2014
- Last updated
- Mar 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 6905397 | FL | Primary |
Addresses
Primary practice location
4500 Havre Way
Pensacola, FL 32505-3024
Mailing address
4500 Havre Way
Pensacola, FL 32505-3024
Phone (850) 438-5296
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6905397 | FL | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395878400000",
"number": "1356768394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 HAVRE WAY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325053024",
"telephone_number": "850-438-5296",
"fax_number": "850-438-5296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 HAVRE WAY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325053024",
"telephone_number": "850-438-5296",
"fax_number": "850-438-5296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "VELMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-27",
"last_updated": "2014-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "6905397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.