Active NPI
Haley Danae Glasser, DNP, FNP-C
- Family Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1659871762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11006222
- Practice address
- 13241 Bartram Park Blvd Unit 209
Jacksonville, FL 32258-5233 - Phone
- (904) 224-5437
- NPI assigned
- Feb 15, 2018
- Last updated
- May 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN260216 | GA | |
| Family Nurse Practitioner | 363LF0000X | APRN11006222 | FL | Primary |
| Registered Nurse | 163W00000X | RN260216 | GA |
Addresses
Primary practice location
13241 Bartram Park Blvd Unit 209
Jacksonville, FL 32258-5233
Mailing address
2054 Riverside Ave Apt 5108
Jacksonville, FL 32204-4447
Phone (678) 763-8139
Other practice location 1
1712 E Broad Ave
Albany, GA 31705-2611
Phone (229) 639-3103
Other names 1
- Haley Danae Reid
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11006222 | FL | MD | Family Nurse Practitioner |
| RN260216 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1659871762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2054 RIVERSIDE AVE APT 5108",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044447",
"telephone_number": "678-763-8139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13241 BARTRAM PARK BLVD UNIT 209",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322585233",
"telephone_number": "904-224-5437"
}
],
"practiceLocations": [
{
"address_1": "1712 E Broad Ave",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "GA",
"postal_code": "317052611",
"country_code": "US",
"telephone_number": "229-639-3103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLASSER",
"first_name": "HALEY",
"middle_name": "DANAE",
"credential": "DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-15",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN260216",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11006222",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN260216",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HALEY",
"last_name": "REID",
"middle_name": "DANAE",
"credential": "DNP, FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.