Khalifah Lutfiyyah Glover, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F311187-01 Issued in NY

Practice address

3495 Bailey Ave
Buffalo, NY 14215-1129

Phone

(716) 834-9200

NPI assigned

Jul 28, 2023

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

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maine Medical Consultants PCGroup PAC ID 7810229259, 46 clinicians

First Docs PCGroup PAC ID 0547626871, 181 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• First Docs PC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1417655465

  NY

  Medicare reassignment Care Compare group NPD
• Maine Medical Consultants PC

  • Internal Medicine Physician
  • Portland, ME
  • NPI 1619519873

  NY

  Medicare reassignment Care Compare group
• Mercer Bucks Medical Associates, P.C.

  • Internal Medicine Physician
  • Levittown, PA
  • NPI 1952485971

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1396426763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 CRESTWOOD LN",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211463",
            "telephone_number": "716-807-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 BAILEY AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151129",
            "telephone_number": "716-834-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "KHALIFAH",
        "middle_name": "LUTFIYYAH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F311187-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Glose, ATC
• Kaitlyn Glovack, LCSW
• Shanita Glover-Mangam, BA, MSW
• Alexander William Glover, MB BCH BAO
• Amy Lyn Glover, N.P.
• Robert Lawrence Glover, M.D.
• Glowing Ember LCSW PLLC
• Katie Glynn
• Larissa Gmeinder
• GNG Medical Supplies

• Nurse Practitioner in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.