Individual provider Active NPI

Daniel Glassford, RN

  • Registered Nurse
  • Pope Valley, CA
National Provider Identifier
1578005385
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95107920 Issued in CA
Practice address
2709 Harness Dr
Pope Valley, CA 94567-9424
Phone
(707) 971-9227
NPI assigned
Nov 9, 2016
Last updated
Nov 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95107920 CA Primary
Registered Nurse 163W00000X 254542 GA
Registered Nurse 163W00000X 207565 TN

Addresses

Primary practice location

2709 Harness Dr
Pope Valley, CA 94567-9424

Mailing address

2709 Harness Dr
Pope Valley, CA 94567-9424
Phone (707) 971-9227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95107920CAMDRegistered Nurse
254542GAMDRegistered Nurse
207565TNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1578005385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 HARNESS DR",
            "city": "POPE VALLEY",
            "state": "CA",
            "postal_code": "945679424",
            "telephone_number": "707-971-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 HARNESS DR",
            "city": "POPE VALLEY",
            "state": "CA",
            "postal_code": "945679424",
            "telephone_number": "707-971-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSFORD",
        "first_name": "DANIEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95107920",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "254542",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "207565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pope Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.