Glenda Kollm, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN3388052 Issued in FL

Practice address

105 Devon St
Port Orange, FL 32127-5924

Phone

(704) 964-8226

NPI assigned

Sep 4, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1558739656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DEVON ST",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321275924",
            "telephone_number": "704-964-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DEVON ST",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321275924",
            "telephone_number": "704-964-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLM",
        "first_name": "GLENDA",
        "credential": "BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN3388052",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "176866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Knepple
• Alejandro Knight, CRNA
• Melissa Koch
• Allyssa Nicole Koerber, PA-C
• Mark Kolb, PTA
• Ramneet Kooner, MD
• Brooke Koontz, MS
• Adam Kornecki, LMT
• Christian A Kovats, DO
• Kristina Maria Kozenskie

• Registered Nurse in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.