Active NPI
Susan R Gladden, RNFA
- Psychiatric/Mental Health Clinical Nurse Specialist
- Wichita Falls, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- AP132268
- 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, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7700478 | Other | TX | AETNA |
| 8496608 | Other | TX | CIGNA |
| 89N923 | Other | TX | BCBS 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 640526 | TX | MD | Medical-Surgical Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helen Farabee Centers | Current | 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.
-
- Community/Behavioral Health Agency
- Wichita Falls, TX
- NPI 1457479511
-
- Case Management Agency
- Wichita Falls, TX
- NPI 1093833154
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.