Individual provider Active NPI

Deana Glasgow, FNP-C

  • Family Nurse Practitioner
  • Cedar Point, NC
National Provider Identifier
1457883191
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5009433 Issued in NC
Practice address
718 Cedar Point Blvd
Cedar Point, NC 28584-8012
Phone
(252) 393-6543
Fax
(833) 941-2380
NPI assigned
Mar 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5009433 NC Primary

Addresses

Primary practice location

718 Cedar Point Blvd
Cedar Point, NC 28584-8012

Mailing address

718 Cedar Point Blvd Dept 100
Cedar Point, NC 28584-8012
Phone (252) 393-6543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20170628000005 NC Practitioner - Nurse Practitioner 6709155187 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5009433NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Children'S and Multispecialty Clinic, PA CurrentSince Jun 24, 2020 Accepting new patients
Western Carteret Medical Center, PLLC CurrentSince Sep 1, 2023 Accepting new patients
Amm Healthcare, PA CurrentSince May 22, 2022 Accepting new patients
Family Care Clinic, P.a. PastSince Jun 24, 2020 Accepting new patients

Locations

718 Cedar Point Blvd
Cedar Point, NC 28584
Phone (252) 393-6543

718 Cedar Point Blvd
#100
Cedar Point, NC 28584

120 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581

118 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581

114C Memorial Dr
Jacksonville, NC 28546
Phone (910) 346-3976

3004 Bridges St
Morehead City, NC 28557
Phone (252) 499-2211

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/25088/brand/1/csg/1/fhir/r4
  • Direct secure messaging: deana.glasgow.1@25088.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1457883191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 CEDAR POINT BLVD DEPT 100",
            "city": "CEDAR POINT",
            "state": "NC",
            "postal_code": "285848012",
            "telephone_number": "252-393-6543",
            "fax_number": "833-941-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 CEDAR POINT BLVD",
            "city": "CEDAR POINT",
            "state": "NC",
            "postal_code": "285848012",
            "telephone_number": "252-393-6543",
            "fax_number": "833-941-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASGOW",
        "first_name": "DEANA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Point, NC

Sources for this page

Verify at the official NPI Registry.