Active NPI
Glenn Parker
- Licensed Practical Nurse
- Ft Wainwright, AK
National Provider Identifier
1366427270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 184648
- Practice address
- 1060 Gaffney Rd
Bassett Army Community Hospital
Ft Wainwright, AK 99703-5001 - Phone
- (907) 353-5418
- Fax
- (907) 353-4845
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 184648 | TX | Primary |
Addresses
Primary practice location
1060 Gaffney Rd
Bassett Army Community Hospital
Ft Wainwright, AK 99703-5001
Mailing address
1060 Gaffney Rd
Commander, USA-Meddac-Ak, Attn: McUc-MMD-QM
Ft Wainwright, AK 99703-5001
Phone (907) 353-5418
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 |
|---|---|---|---|
| 184648 | TX | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366427270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 GAFFNEY RD",
"address_2": "COMMANDER, USA-MEDDAC-AK, ATTN: MCUC-MMD-QM",
"city": "FT WAINWRIGHT",
"state": "AK",
"postal_code": "997035001",
"telephone_number": "907-353-5418",
"fax_number": "907-353-4845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 GAFFNEY RD",
"address_2": "BASSETT ARMY COMMUNITY HOSPITAL",
"city": "FT WAINWRIGHT",
"state": "AK",
"postal_code": "997035001",
"telephone_number": "907-353-5418",
"fax_number": "907-353-4845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "GLENN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "TX",
"license": "184648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Wainwright, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.