Glenna Jeanne Gabriel, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

137741 Issued in NY

Practice address

1506 Route 21
Red Jacket Education Center
Shortsville, NY 14548-9502

Phone

(585) 289-9649

Fax

(585) 289-2111

NPI assigned

Dec 16, 2011

Last updated

Dec 16, 2011By the provider in NPPES

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

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": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1558630764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 ROUTE 21",
            "address_2": "RED JACKET EDUCATION CENTER",
            "city": "SHORTSVILLE",
            "state": "NY",
            "postal_code": "145489502",
            "telephone_number": "585-289-9649",
            "fax_number": "585-289-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 ROUTE 21",
            "address_2": "RED JACKET EDUCATION CENTER",
            "city": "SHORTSVILLE",
            "state": "NY",
            "postal_code": "145489502",
            "telephone_number": "585-289-9649",
            "fax_number": "585-289-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "GLENNA",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "137741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Shortsville, NY
• Providers in Shortsville, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.