Active NPI
Nicole Evette Glesinger, LMT
- Specialist
- Tucson, AZ
National Provider Identifier
1639516644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MT-16989
- Practice address
- 2571 N 1St Ave
Tucson, AZ 85719-2910 - Phone
- (520) 247-3362
- Fax
- (520) 623-7064
- NPI assigned
- May 30, 2013
- Last updated
- May 30, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MT-16989 | AZ | Primary |
Addresses
Primary practice location
2571 N 1St Ave
Tucson, AZ 85719-2910
Mailing address
2748 N Pacific Dr
Tucson, AZ 85705-4283
Phone (520) 247-3362
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 |
|---|---|---|---|
| MT-16989 | AZ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1639516644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2748 N PACIFIC DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857054283",
"telephone_number": "520-247-3362",
"fax_number": "520-623-7064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2571 N 1ST AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857192910",
"telephone_number": "520-247-3362",
"fax_number": "520-623-7064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLESINGER",
"first_name": "NICOLE",
"middle_name": "EVETTE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-30",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "MT-16989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.