Glenda Carol Gullion, RN BSN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

28124124A Issued in IN

Practice address

4402 E State Blvd
Fort Wayne, IN 46815-6917

Phone

(260) 484-8830

Fax

(260) 483-1911

NPI assigned

Nov 15, 2007

Sex

Female

Sole proprietor

Yes

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, Registered Nurse

State licenses

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1609057850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 SHEARWATER RUN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468458719",
            "telephone_number": "219-765-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468156917",
            "telephone_number": "260-484-8830",
            "fax_number": "260-483-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLION",
        "first_name": "GLENDA",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "RN BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IN",
            "license": "28124124A",
            "primary": true
        },
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "IN",
            "license": "28124124A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Gulino
• Ramabrahmam Gullapalli, M.D.
• Christopher J. Gullett, MD
• Juliana Gullett
• Kyndal Gulley
• Kevin Gullion, ATC
• Melissa S Gumbert, ATC,LAT
• P. Rao Gummadi, M.D.
• Amanda Gump
• Mateo Gump, RBT

• General Practice Registered Nurse in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• General Practice Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.