Individual provider Active NPI

Glenda Catherine Abuton Baz

  • Registered Nurse
  • Lubbock, TX
National Provider Identifier
1578172730
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
755190 Issued in TX
Practice address
5001 Chicago Ave Apt 421
Lubbock, TX 79414-1733
Phone
(806) 281-2258
NPI assigned
Jul 23, 2020
Last updated
Jul 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 755190 TX Primary

Addresses

Primary practice location

5001 Chicago Ave Apt 421
Lubbock, TX 79414-1733

Mailing address

3708 20TH St Ste a
Lubbock, TX 79410-1228
Phone (806) 744-8999

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

State licenses

LicenseStateTypeSpecialty
755190TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1578172730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 20TH ST STE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101228",
            "telephone_number": "806-744-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 CHICAGO AVE APT 421",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794141733",
            "telephone_number": "806-281-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZ",
        "first_name": "GLENDA CATHERINE",
        "middle_name": "ABUTON",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "755190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.