Individual provider Active NPI

Glenda F. Denherder, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Sioux City, IA
National Provider Identifier
1477596450
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
061517 Issued in IA
Practice address
600 4TH St
Suite 501
Sioux City, IA 51101-1750
Phone
(712) 234-0220
Fax
(712) 234-0225
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 110339 NE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 061517 IA Primary

Addresses

Primary practice location

600 4TH St
Suite 501
Sioux City, IA 51101-1750

Mailing address

600 4TH St
Suite 501
Sioux City, IA 51101-1750
Phone (712) 234-0220

Other identifiers 4

IdentifierTypeStateIssuer
T-061517 CNS ADULTOtherIAARNP LICENSE
10025162300MedicaidNE
1477596450OtherIAWELLMARK BCBS
0339681OtherIABOARD CERTIFICATION ANCC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20090917000719 IA Practitioner - Nurse Practitioner 7012063936 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
061517IAMDPsychiatric/Mental Health Nurse Practitioner
110339NEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associates for Psychiatric Services PC Psychiatric/Mental Health CurrentSince Sep 1, 2009 Accepting new patients
Mercy Medical Services Past Accepting new patients
Ven Mental Health and TMS Clinic LLC Psychiatric/Mental Health PastSince Jul 9, 2025 Accepting new patients

Locations

600 4th St
Ste 501
Sioux City, IA 51101
Phone (712) 234-0220

Interoperability endpoints

  • Direct secure messaging: glendadenherderarnp@aps.allscriptsdirect.net

Organizations & group practices 3

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1477596450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 4TH ST",
            "address_2": "SUITE 501",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011750",
            "telephone_number": "712-234-0220",
            "fax_number": "712-234-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 4TH ST",
            "address_2": "SUITE 501",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011750",
            "telephone_number": "712-234-0220",
            "fax_number": "712-234-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENHERDER",
        "first_name": "GLENDA",
        "middle_name": "F.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "110339",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "061517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "T-061517 CNS  ADULT",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025162300",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "1477596450",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFICATION ANCC",
            "identifier": "0339681",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.