Individual provider Active NPI

Denita Leshe Glogowski, CPNP-PC

  • Pediatric Nurse Practitioner
  • College Station, TX
National Provider Identifier
1649166828
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1205203 Issued in TX
Practice address
1602 Rock Prairie Rd
College Station, TX 77845-8306
Phone
(979) 693-7400
NPI assigned
Jun 16, 2025
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1205203 TX Primary
Pediatric Registered Nurse 163WP0200X 872318 TX

Addresses

Primary practice location

1602 Rock Prairie Rd
College Station, TX 77845-8306

Mailing address

20315 Silverwood TRL
Cypress, TX 77433-4898
Phone (832) 229-3511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260106002444 TX Practitioner - Nurse Practitioner 5496241895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1500 University Dr E
College Station, TX 77840-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
872318TXMDPediatric Registered Nurse
1205203TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brazos Valley Community Action Agency, Inc CurrentSince Dec 1, 2025 Accepting new patients
Brazos Valley Community Action Agency, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Tieh Medical Group, PLLC CurrentSince Jun 23, 2025 Accepting new patients
Brazos Valley Community Action Agency, Inc. Past Accepting new patients

Locations

1500 University Dr E
College Station, TX 77840
Phone (979) 693-7400

1500 University Dr E
Ste 100
College Station, TX 77840
Phone (979) 383-2340

7025 Fry Rd
Ste 200
Cypress, TX 77433
Phone (832) 975-7288

8310 Highway 6 Loop
Navasota, TX 77868
Phone (936) 825-0000

Interoperability endpoints

  • Direct secure messaging: dglogowski738492@memorialhermann.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1649166828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20315 SILVERWOOD TRL",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334898",
            "telephone_number": "832-229-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458306",
            "telephone_number": "979-693-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOGOWSKI",
        "first_name": "DENITA",
        "middle_name": "LESHE",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1205203",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "872318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.