Glenna Rae Thiel, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

DN101462 Issued in OH

Practice address

140 Maruba Ave
Ashtabula, OH 44004

Phone

(440) 344-2112

NPI assigned

Apr 2, 2010

Last updated

Apr 2, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270166400000",
    "number": "1508181496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MARUBA AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "44004",
            "telephone_number": "440-344-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MARUBA AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "44004",
            "telephone_number": "440-344-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEL",
        "first_name": "GLENNA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-02",
        "last_updated": "2010-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "DN101462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Tersigni-Tackett, SLP
• The North Coast Center
• The Regional Cancer Center Neo
• The Tamarkin Company (Giant Eagle Pharmacy 1421)
• Amber Thiel, PTA
• Thomas D. Disalvatore, D.C., Inc. (DiSalvatore Chiropractic)
• Jacki Thomas, PCC
• Judi Thomas
• Robin Thome, CDCA
• Amanda Mae Thompson

• Licensed Practical Nurse in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; 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.