Individual provider Active NPI

Glory Dickson Ekanem, PMHNP-C

  • Psychiatric/Mental Health Registered Nurse
  • Columbus, OH
National Provider Identifier
1578707543
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
LE00059564 Issued in OH
Practice address
2085 Citygate Dr
Columbus, OH 43219-3656
Phone
(614) 300-9100
NPI assigned
Apr 21, 2009
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN407523 OH
Psychiatric/Mental Health Registered Nurse 163WP0808X LE00059564 OH Primary

Addresses

Primary practice location

2085 Citygate Dr
Columbus, OH 43219-3656

Mailing address

3287 Bidlington Dr
Columbus, OH 43224-5716
Phone (614) 598-7300

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
RN407523OHMDGeneral Practice Registered Nurse
LE00059564OHMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1578707543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3287 BIDLINGTON DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432245716",
            "telephone_number": "614-598-7300",
            "fax_number": "614-598-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 CITYGATE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193656",
            "telephone_number": "614-300-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKANEM",
        "first_name": "GLORY",
        "middle_name": "DICKSON",
        "name_prefix": "Miss",
        "credential": "PMHNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "RN407523",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "LE00059564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.