Casandra Nicole Glatz, M.S., SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016053 Issued in OR

Practice address

310 Villa Rd
Newberg, OR 97132-1886

Phone

(503) 537-3546

NPI assigned

Jun 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Casandra Nicole Lutz Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Interoperability endpoints

• Direct secure messaging: cglatz985302@oc.providencedirect.org

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1396266193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 VILLA RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321886",
            "telephone_number": "503-537-3546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6010 SW Shattuck Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972211043",
            "country_code": "US",
            "telephone_number": "503-246-8811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLATZ",
        "first_name": "CASANDRA",
        "middle_name": "NICOLE",
        "credential": "M.S., SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "016053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cglatz985302@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "310 Villa Rd",
            "city": "Newberg",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971321886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CASANDRA",
            "last_name": "LUTZ",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha George, MD, DIPABLM
• Kathryn Giebenhain
• McKinley Aaron Gillum
• Stephen F. Gilroy, D.M.D.
• Bethanie Robbins Girardi, RN
• Global Haven
• Bethany R Goldman, MS, ATC
• Lisa M Gonzalez, DPT
• Rebecca Goodman, LMT
• Marie-Christine Rutter Goodworth, PH.D.

• Speech-Language Pathologist in Newberg, OR
• Providers in Newberg, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.