Clear Glass, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

13198 Issued in TN

Legal business name

CLEAR GLASS, LLC

Practice address

510 Hospital Dr
Suite 304
Madison, TN 37115-5033

Phone

(615) 596-7654

Fax

(615) 712-7639

NPI assigned

Dec 8, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Malcolm Brian Glass, APNNPI 1649456062

Title

Advance Practice Nurse

Phone

(615) 596-7654

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Malcolm Brian Glass, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Brentwood, TN
  • NPI 1649456062
  NPD (past) Authorized official

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1376811059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 TYNE BAY DR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754034",
            "telephone_number": "615-596-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HOSPITAL DR",
            "address_2": "SUITE 304",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155033",
            "telephone_number": "615-596-7654",
            "fax_number": "615-712-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR GLASS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "ADVANCE PRACTICE NURSE",
        "authorized_official_telephone_number": "615-596-7654",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "13198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Davis Christopher, LPN
• Carol Ann Churchill, M.D.
• Alvin Walter Clark, DPH
• Deonna Clark, OTR/L
• Jessey Dee Clark, PHARM.D.
• Joel Clements, RPH
• Emma Taylor Clifton, RN
• Corey Joseph Cloud, D.D.S
• Timothy Andrew Clouse, LCSW
• Brandon Cobos

• Psychiatric/Mental Health Nurse Practitioner in Madison, TN
• Providers in Madison, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.