Glenda Darlene Gore, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

124130 Issued in AR

Practice address

719 Front Street
Conway, AR 72032

Phone

(501) 900-4549

Fax

(484) 328-6447

NPI assigned

Apr 6, 2020

Sex

Female

Sole proprietor

No

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

Enrolled in AR

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: glendagoreaprn@healingjourneyclinic.kareodirect.com

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.

• Healing Journey Health & Wellness PLLC

  • Family Nurse Practitioner
  • Conway, AR
  • NPI 1477267946
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1538798087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 FRONT STREET",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72032",
            "telephone_number": "501-900-4549",
            "fax_number": "484-328-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 FRONT STREET",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72032",
            "telephone_number": "501-900-4549",
            "fax_number": "484-328-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "GLENDA",
        "middle_name": "DARLENE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "124130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Arqam Iqbal Goraya, MD
• Deborah Gordon, LPN
• Jamie Lee Gordon, LPC-S
• Kaitlyn Gordon, BCABA
• Spencer Preston Gordy, DDS
• Quincy Goree, RECOVERY ASSISTANT
• Laura Gottsponer
• Kayla Gowin, LAC
• Arianna Maria Goyer
• Grace Therapeutics of Arkansas

• Family Nurse Practitioner in Conway, AR
• Providers in Conway, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.