Individual provider Active NPI

Glenda Kay Vernor, FNP

  • Family Nurse Practitioner
  • Henderson, TX
National Provider Identifier
1497709380
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
234980 Issued in TX
Practice address
100 Zeid Blvd
Suite a
Henderson, TX 75652-6069
Phone
(903) 655-1153
Fax
(903) 655-0620
NPI assigned
May 22, 2006
Last updated
Oct 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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 234980 TX Primary

Addresses

Primary practice location

100 Zeid Blvd
Suite a
Henderson, TX 75652-6069

Mailing address

100 Zeid Blvd
Suite a
Henderson, TX 75652-6069
Phone (903) 655-1153

Other identifiers 1

IdentifierTypeStateIssuer
178236901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC Current Accepting new patients

Locations

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1497709380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ZEID BLVD",
            "address_2": "SUITE A",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756526069",
            "telephone_number": "903-655-1153",
            "fax_number": "903-655-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ZEID BLVD",
            "address_2": "SUITE A",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756526069",
            "telephone_number": "903-655-1153",
            "fax_number": "903-655-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNOR",
        "first_name": "GLENDA",
        "middle_name": "KAY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "234980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178236901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TX

Sources for this page

Verify at the official NPI Registry.