Gloria Jean Lelaidier

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

ARNP1634442 Issued in FL

Legal business name

GLORIA JEAN LELAIDIER

Practice address

72 South St
St Augustine, FL 32084-5127

Phone

(904) 824-4990

Fax

(904) 824-2226

NPI assigned

Feb 12, 2010

Organization subpart

No

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

Authorized official

Name

Gloria Lelaidier, ARNP, CNM

Title

President

Phone

(904) 829-2686

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1598097768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3123",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320853123",
            "telephone_number": "904-824-4990",
            "fax_number": "904-824-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 SOUTH ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845127",
            "telephone_number": "904-824-4990",
            "fax_number": "904-824-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA JEAN LELAIDIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "LELAIDIER",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-829-2686",
        "authorized_official_credential": "ARNP, CNM"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "ARNP1634442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000392200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karisa Glassmoyer
• Glenmoor Opco Ventures, LLC
• William James Glenos II, D.M.D.
• Global Health Records, Inc.
• Sarah Glod
• Gloria Z. Moore D.C., P.a.
• Rhiannon Gluhosky, DPT
• Eunice Martina Glynn, OTR/L
• Go Madd 4 Massage
• Stacia Larose Godboldt, CNM

• Registered Nurse First Assistant in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Registered Nurse First Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.