Individual provider Active NPI

Glenda Gaddi-Geli, RN

  • Registered Nurse
  • Glendale, WI
National Provider Identifier
1447644281
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
148691-30 Issued in WI
Practice address
400 W Brentwood LN
Glendale, WI 53217-4111
Phone
(414) 737-3843
NPI assigned
Mar 18, 2015
Last updated
Mar 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 148691-30 WI Primary

Addresses

Primary practice location

400 W Brentwood LN
Glendale, WI 53217-4111

Mailing address

400 W Brentwood LN
Glendale, WI 53217-4111
Phone (414) 737-3843

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
148691-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1447644281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W BRENTWOOD LN",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174111",
            "telephone_number": "414-737-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W BRENTWOOD LN",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174111",
            "telephone_number": "414-737-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDI-GELI",
        "first_name": "GLENDA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "148691-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.