Kayla Renae Gleason, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

184051 Issued in OH

Practice address

325 Wells Jones Rd
Waverly, OH 45690-9626

Phone

(740) 222-4841

NPI assigned

Jun 6, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kayla Renae Dalton Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1407540099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 WELLS JONES RD",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909626",
            "telephone_number": "740-222-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 WELLS JONES RD",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909626",
            "telephone_number": "740-222-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "KAYLA",
        "middle_name": "RENAE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "184051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "DALTON",
            "middle_name": "RENAE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca S Gilbert
• Tyler Allen Gillenwater
• Angela D. Gilliland, CNP
• Robert Gillum
• Caleb Joseph Gingerich
• Shelby Rose Gleason
• Erica Lynn Glenn
• Caitlyn Goddard
• Crystal Gorman
• Matthew Gorman

• Licensed Practical Nurse in Waverly, OH
• Providers in Waverly, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.