Active NPI
Machelle Gliori
- Contractor
- Surprise, AZ
National Provider Identifier
1477696045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- #2902
- Practice address
- 15042 W Sweetwater Ave
Surprise, AZ 85379-8164 - Phone
- (602) 717-3272
- NPI assigned
- Feb 14, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | #2902 | AZ | Primary |
Addresses
Primary practice location
15042 W Sweetwater Ave
Surprise, AZ 85379-8164
Mailing address
13700 W Greenway Rd
Surprise, AZ 85374-5291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 695843 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #2902 | AZ | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheels on the Bus, Inc. | Current | Accepting new patients | |
| NK Speech Therapy and Behavior Support PLLC | Past | Accepting new patients |
Locations
11811 N Tatum Blvd
Ste 3031
Phoenix, AZ 85028
Phone (480) 589-2890
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Phoenix, AZ
- NPI 1740353127
-
- Hearing and Speech Clinic/Center
- Phoenix, AZ
- NPI 1104561471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1477696045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13700 W GREENWAY RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853745291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15042 W SWEETWATER AVE",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853798164",
"telephone_number": "602-717-3272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLIORI",
"first_name": "MACHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "AZ",
"license": "#2902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "695843",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.