Active NPI
Ellen E. Glassmeyer, APRN
- Pediatric Nurse Practitioner
- Lebanon, OH
National Provider Identifier
1417091174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- NP07400
- Practice address
- 986 Belvedere Dr
Lebanon, OH 45036-2821 - Phone
- (513) 934-1200
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | NP07400 | OH | Primary |
Addresses
Primary practice location
986 Belvedere Dr
Lebanon, OH 45036-2821
Mailing address
986 Belvedere Dr
Lebanon, OH 45036-2821
Phone (513) 934-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP07400 | OH | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1417091174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "986 BELVEDERE DR",
"city": "LEBANON",
"state": "OH",
"postal_code": "450362821",
"telephone_number": "513-934-1200",
"fax_number": "855-688-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "986 BELVEDERE DR",
"city": "LEBANON",
"state": "OH",
"postal_code": "450362821",
"telephone_number": "513-934-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASSMEYER",
"first_name": "ELLEN",
"middle_name": "E.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "NP07400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.