Jacque Renee Glueckert, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN081148 Issued in OH

Practice address

6507 Pheasant Ridge Rd
Dayton, OH 45424-7111

Phone

(937) 520-8527

Fax

(937) 233-3726

NPI assigned

Oct 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Perspective Home Care, LLC

  • Home Health Agency
  • Huber Heights, OH
  • NPI 1992850192
  NPD Authorized official

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1457549560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 PHEASANT RIDGE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454247111",
            "telephone_number": "937-520-8527",
            "fax_number": "937-233-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 PHEASANT RIDGE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454247111",
            "telephone_number": "937-520-8527",
            "fax_number": "937-233-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUECKERT",
        "first_name": "JACQUE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN081148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariquta Nicole D Glover
• Melanie M Glover, MD
• Pamela Glover
• Shannon Glover, CDCA
• Melinda Sarah Glovka, MSSA, LSW
• Sarah Glueckert
• GM-Gala Corporation
• Pravin Xavier Gnanasekhar, OTR/L
• Erin Carol Gnandt, MSW, LSW
• Go Opco LLC

• Licensed Practical Nurse in Dayton, OH
• Providers in Dayton, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.