Glenwood Shelton Stancil Jr., NBC-HWC, RT(R)(CT)

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

A-3986249

Practice address

6720 E Highway WW
Columbia, MO 65201-8771

Phone

(573) 787-4600

NPI assigned

Dec 19, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Cadre Health LLC

  • Health & Wellness Coach
  • Columbia, MO
  • NPI 1235947326
  NPD Authorized official

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1467260869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 E HIGHWAY WW",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018771",
            "telephone_number": "573-787-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 E HIGHWAY WW",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018771",
            "telephone_number": "573-787-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCIL",
        "first_name": "GLENWOOD",
        "middle_name": "SHELTON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NBC-HWC, RT(R)(CT)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": null,
            "license": "241732",
            "primary": false
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": "241732",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": "A-3986249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard W Stahlhut, MD
• Shawn P Stallings, M.D.
• Cheryl Ann Stallo, MSN, APRN, FNP-BC
• Vicki Stambaugh, RD
• Ruanne M Stamps, MD
• Derek Ross Staner, MD
• Rebekah Elizabeth Stanfast, LCSW
• Lisa Stankey, PT
• Alexander Thaddeus Stanley, DDS
• Owen Stanley, M.S., ATC, CSCS, EMT

• Health & Wellness Coach in Columbia, MO
• Providers in Columbia, MO by specialty
• Health & Wellness Coach in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.