Individual provider Active NPI

Erica Glover, FNP

  • Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1366733164
Registry record updated Aug 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R856415 Issued in MS
Practice address
10641 Highway 80 W
Meridian, MS 39307-9256
Phone
(601) 485-5255
NPI assigned
Apr 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R856415 MS Primary

Addresses

Primary practice location

10641 Highway 80 W
Meridian, MS 39307-9256

Mailing address

PO Box 3452
Meridian, MS 39303-3452
Phone (601) 616-7653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110517000044 MS Practitioner - Nurse Practitioner 9133305733 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nurse Practitioner Associates of Meridian CurrentSince Dec 14, 2021 Accepting new patients
Behavioral Health Services of Meridian CurrentSince Apr 17, 2022 Accepting new patients
Erica Glover, FNP-BC, PLLC Current Accepting new patients

Locations

3701 8th St
#B
Meridian, MS 39307
Phone (601) 282-1933

Organizations & group practices 3

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": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598745600000",
    "number": "1366733164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3452",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393033452",
            "telephone_number": "601-616-7653",
            "fax_number": "601-207-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10641 HIGHWAY 80 W",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393079256",
            "telephone_number": "601-485-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "ERICA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2020-08-30",
        "certification_date": "2020-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R856415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.