Individual provider Active NPI

Heather Lynn Glass, APRN

  • Family Nurse Practitioner
  • Kennesaw, GA
National Provider Identifier
1407479702
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GA-NP000169 Issued in GA
Practice address
2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Phone
(866) 389-2727
Fax
(401) 216-2854
NPI assigned
May 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9688 CT
Family Nurse Practitioner 363LF0000X 95308498 CA
Family Nurse Practitioner 363LF0000X 24192294 VA
Family Nurse Practitioner 363LF0000X GA-NP000169 GA Primary
Family Nurse Practitioner 363LF0000X 348426 NY
Family Nurse Practitioner 363LF0000X 11007189 FL
Family Nurse Practitioner 363LF0000X 1048914 TX

Addresses

Primary practice location

2782 N Cobb Pkwy
Kennesaw, GA 30152-3472

Mailing address

2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, NY, CT, NH, VT6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20210806000741 FL Practitioner - Nurse Practitioner 5496159857 Reassigns benefits to 1 organization
I20211101001496 TX Practitioner - Nurse Practitioner 5496159857 Reassigns benefits to 1 organization
I20220721002559 NY Practitioner - Nurse Practitioner 5496159857 Reassigns benefits to 1 organization
I20220809000966 CT Practitioner - Nurse Practitioner 5496159857 Reassigns benefits to 1 organization
I20220922001949 NH Practitioner - Nurse Practitioner 5496159857 Reassigns benefits to 1 organization
I20250401003358 VT Practitioner - Nurse Practitioner 5496159857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel Novick MD PLLCGroup PAC ID 0143754341, 22 clinicians

Practice addresses (Care Compare)

20 E Sunrise Hwy
FL 2
Valley Stream, NY 11581-1260
Phone (516) 543-6249

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
348426NYMDLicensed Practical Nurse
95308498CAMDFamily Nurse Practitioner
11007189FLMDFamily Nurse Practitioner
GA-NP000169GAMDFamily Nurse Practitioner
1048914TXMDFamily Nurse Practitioner
24192294VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Novick MD PLLC Family CurrentSince Dec 1, 2024 Accepting new patients
Sprinter Medical West PC Family Medicine CurrentSince Feb 4, 2026 Accepting new patients
Chma of FL, PLLC CurrentSince Aug 2, 2021 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

154 Jefferson Hts
Catskill, NY 12414
Phone (518) 942-5151

2405 15th St
Troy, NY 12180
Phone (518) 266-9654

20 E Sunrise Hwy
Valley Stream, NY 11581
Phone (516) 705-4815

20 E Sunrise Hwy
Ste 115812
Valley Stream, NY 11581

20 E Sunrise Hwy
Fl 2
Valley Stream, NY 11581
Phone (516) 543-6249

1100 NW Loop 410
Ste 700
San Antonio, TX 78213
Phone (210) 241-4954

Interoperability endpoints

  • Direct secure messaging: htowne@landmarkhealth-direct.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1407479702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2782 N COBB PKWY",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523472",
            "telephone_number": "866-389-2727",
            "fax_number": "401-216-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2782 N COBB PKWY",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523472",
            "telephone_number": "866-389-2727",
            "fax_number": "401-216-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "9688",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95308498",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "24192294",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GA-NP000169",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348426",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007189",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1048914",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.