Individual provider Active NPI

Gayle F. Glennon, CNM,ARNP

  • Advanced Practice Midwife
  • Boynton Beach, FL
National Provider Identifier
1497735567
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP432692 Issued in FL
Practice address
1301 N Congress Ave Ste 200
Boynton Beach, FL 33426-3359
Phone
(561) 742-3929
Fax
(561) 742-3931
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X ARNP432692 FL
Advanced Practice Midwife 367A00000X ARNP432692 FL Primary

Addresses

Primary practice location

1301 N Congress Ave Ste 200
Boynton Beach, FL 33426-3359

Mailing address

1301 N Congress Ave Ste 200
Boynton Beach, FL 33426-3359
Phone (561) 742-3929

Other practice location 1

7301A W Palmetto Park Rd Ste 200B
Boca Raton, FL 33433-3466
Phone (561) 394-4473

Other identifiers 1

IdentifierTypeStateIssuer
033875300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050505000950 FL Practitioner - Certified Nurse Midwife (CNM) 9032159330 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
ARNP432692FLMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All Womens Healthcare Inc Advanced Practice Midwife Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1497735567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N CONGRESS AVE STE 200",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263359",
            "telephone_number": "561-742-3929",
            "fax_number": "561-742-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N CONGRESS AVE STE 200",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263359",
            "telephone_number": "561-742-3929",
            "fax_number": "561-742-3931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7301A W Palmetto Park Rd Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334333466",
            "country_code": "US",
            "telephone_number": "561-394-4473",
            "fax_number": "561-394-5997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLENNON",
        "first_name": "GAYLE",
        "middle_name": "F.",
        "credential": "CNM,ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP432692",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP432692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033875300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.