Active NPI
Glen Scheel
- Licensed Practical Nurse
- Camas, WA
National Provider Identifier
1619645744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 202006073LPN
- Practice address
- 668 SE Polk St
Camas, WA 98607-2234 - Phone
- (360) 513-6757
- NPI assigned
- Sep 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 202006073LPN | OR | Primary |
Addresses
Primary practice location
668 SE Polk St
Camas, WA 98607-2234
Mailing address
668 SE Polk St
Camas, WA 98607-2234
Phone (360) 513-6757
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
| License | State | Type | Specialty |
|---|---|---|---|
| 202006073LPN | OR | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1619645744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "668 SE POLK ST",
"city": "CAMAS",
"state": "WA",
"postal_code": "986072234",
"telephone_number": "360-513-6757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "668 SE POLK ST",
"city": "CAMAS",
"state": "WA",
"postal_code": "986072234",
"telephone_number": "360-513-6757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEEL",
"first_name": "GLEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-02",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OR",
"license": "202006073LPN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camas, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.