Active NPI
Pamela L Gleason, N.P.
- Family Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1437376183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN047210
- Practice address
- 1101 E Broadway Blvd
Tucson, AZ 85719-5845 - Phone
- (520) 624-7750
- NPI assigned
- Apr 20, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN047210 | AZ | Primary |
Addresses
Primary practice location
1101 E Broadway Blvd
Tucson, AZ 85719-5845
Mailing address
1101 E Broadway Blvd
Tucson, AZ 85719-5845
Phone (520) 624-7750
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223251200000",
"number": "1437376183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 E BROADWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857195845",
"telephone_number": "520-624-7750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 E BROADWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857195845",
"telephone_number": "520-624-7750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEASON",
"first_name": "PAMELA",
"middle_name": "L",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2008-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN047210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.