Individual provider Active NPI

Susan R Gladden, RNFA

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Wichita Falls, TX
National Provider Identifier
1437265071
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
AP132268 Issued in TX
Practice address
516 Denver St
Wichita Falls, TX 76301-2110
Phone
(940) 720-3500
Fax
(940) 397-3150
NPI assigned
Aug 23, 2006
Last updated
Jun 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 640526 TX
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X AP132268 TX Primary

Addresses

Primary practice location

516 Denver St
Wichita Falls, TX 76301-2110

Mailing address

1325 Pennsylvania Ave
Suite 890
Fort Worth, TX 76104-2158
Phone (817) 878-5333

Other practice location 1

1325 Pennsylvania Ave
Suite 890
Fort Worth, TX 76104-2158
Phone (817) 878-5333

Other identifiers 3

IdentifierTypeStateIssuer
7700478OtherTXAETNA
8496608OtherTXCIGNA
89N923OtherTXBCBS OF TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20190717000055 TX Practitioner - Nurse Practitioner 2769717560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Helen Farabee CentersGroup PAC ID 8729042916, 13 clinicians

Practice addresses (Care Compare)

1000 Brook Ave
Wichita Falls, TX 76301-5007
Phone (940) 397-3143

1000 Brook St
Wichita Falls, TX 76301-5007

500 Broad St
Wichita Falls, TX 76301-3109
Phone (940) 397-3300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
640526TXMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Farabee Centers CurrentSince Jun 3, 2019 Accepting new patients
Helen Farabee Centers Past Accepting new patients

Locations

8150 US Highway 287
Childress, TX 79201
Phone (940) 536-3644

1720 4th St
Graham, TX 76450
Phone (940) 549-4896

510 King St
Quanah, TX 79252
Phone (940) 536-3644

301 N Washington St
Seymour, TX 76380
Phone (940) 889-2277

2500 Wilbarger St
Vernon, TX 76384
Phone (940) 553-4002

1000 Brook Ave
Wichita Falls, TX 76301
Phone (940) 397-3100

500 Broad St
Wichita Falls, TX 76301
Phone (940) 397-3300

516 Denver St
Wichita Falls, TX 76301
Phone (940) 720-3500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1437265071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE",
            "address_2": "SUITE 890",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042158",
            "telephone_number": "817-878-5333",
            "fax_number": "817-878-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 DENVER ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763012110",
            "telephone_number": "940-720-3500",
            "fax_number": "940-397-3150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Pennsylvania Ave",
            "address_2": "Suite 890",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042158",
            "country_code": "US",
            "telephone_number": "817-878-5333",
            "fax_number": "817-878-5334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLADDEN",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TX",
            "license": "640526",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP132268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7700478",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8496608",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "89N923",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.