Individual provider Active NPI

Hillary Louise Glenn, DNP, ARNP-BC

  • Family Nurse Practitioner
  • Santa Rosa Beach, FL
National Provider Identifier
1649444746
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9274614 Issued in FL
Practice address
1321 N County Highway 395
Santa Rosa Beach, FL 32459-5916
Phone
(850) 213-1133
Fax
(850) 213-2533
NPI assigned
Apr 18, 2008
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9274614 FL Primary

Addresses

Primary practice location

1321 N County Highway 395
Santa Rosa Beach, FL 32459-5916

Mailing address

1321 N County Highway 395
Santa Rosa Beach, FL 32459-5916
Phone (850) 213-1133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110524000380 FL Practitioner - Nurse Practitioner 8022294297

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9274614FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Point Washington Medical Clinic Inc CurrentSince Mar 31, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hillary.glenn.1@26499.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26499/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1649444746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N COUNTY HIGHWAY 395",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595916",
            "telephone_number": "850-213-1133",
            "fax_number": "850-213-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N COUNTY HIGHWAY 395",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595916",
            "telephone_number": "850-213-1133",
            "fax_number": "850-213-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "HILLARY",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DNP, ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9274614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.