Nancy Glover, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

CNP171146 Issued in ME

Practice address

46 Jordan Ave
South Portland, ME 04106-4704

Phone

(207) 542-2788

NPI assigned

Sep 13, 2017

Last updated

Feb 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nglover@newfreedomacademy.com

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.

• Healthreach Community Health Centers

  dba Richmond Area Health Center

  • Federally Qualified Health Center (FQHC)
  • Richmond, ME
  • NPI 1164496410
  Medicare reassignment NPD
• Healthreach Community Health Centers

  dba Sheepscot Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Coopers Mills, ME
  • NPI 1841263118
  Medicare reassignment NPD
• Healthreach Community Health Centers

  dba Lovejoy Health Center

  • Federally Qualified Health Center (FQHC)
  • Albion, ME
  • NPI 1922071745
  Medicare reassignment NPD
• Mainehealth

  dba Mainehealth Behavioral Health

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment NPD
• Healthreach Community Health Centers

  dba Lawrence High School Health Center

  • Federally Qualified Health Center (FQHC)
  • Fairfield, ME
  • NPI 1285302893
  NPD
• Mainehealth

  dba MaineHealth Pharmacy Brighton Ave

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  • Gynecologic Oncology Physician
  • Scarborough, ME
  • NPI 1851605455
  NPD

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612656000000",
    "number": "1659890473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 JORDAN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041064704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 JORDAN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041064704",
            "telephone_number": "207-542-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "NANCY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP171146",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "082472-23",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "082472-23",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE STATE BOARD OF NURSING",
            "identifier": "CNP171146",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nglover@newfreedomacademy.com",
            "affiliation": "N",
            "address_1": "367 Shaker Rd",
            "city": "Canterbury",
            "state": "NH",
            "country_code": "US",
            "postal_code": "032242714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alison J. Ginn, BCBA
• Donna Gioia, PT
• Rachel Gips, MS CCC SLP
• Alyanna Giuliano, LMSW-CC
• Thomas Raymond Gjeltema, DPT
• Chaz Gokas, LADC
• Eva Wray Goldfinger, LMSW-CC
• Michael P Goldfinger, M.D.
• Tessa Goldstein, DPT
• Good Hands Home Care, LLC

• Psychiatric/Mental Health Nurse Practitioner in South Portland, ME
• Providers in South Portland, ME by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.