Individual provider Active NPI

Alleda J Glasner, NP

  • Family Nurse Practitioner
  • Winona, MS
National Provider Identifier
1669059069
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27933 Issued in TN
Practice address
521 Highway 407
Winona, MS 38967-9770
Phone
(662) 310-5829
NPI assigned
Mar 24, 2021
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 940834 TX
Family Nurse Practitioner 363LF0000X 27933 TN Primary

Addresses

Primary practice location

521 Highway 407
Winona, MS 38967-9770

Mailing address

521 Highway 407
Winona, MS 38967-9770
Phone (662) 310-5829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220216000268 TN Practitioner - Nurse Practitioner 4486047461 Reassigns benefits to 6 organizations
I20240417000908 MS Practitioner - Nurse Practitioner 4486047461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Convenient Care Clinic LLCGroup PAC ID 1052587284, shared by 2 NPIs, 21 clinicians
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians

Practice addresses (Care Compare)

3040 Goodman Rd W
Horn Lake, MS 38637-1189
Phone (662) 280-3428

5142 Goodman Rd
Olive Branch, MS 38654-8971
Phone (662) 932-3029

555 Hwy 6 E
Batesville, MS 38606
Phone (662) 578-2030

8350 Hwy 64
Suite 103
Bartlett, TN 38133
Phone (901) 730-6003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
940834TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist University Emergency Physicians PLLC CurrentSince Feb 10, 2024 Accepting new patients
Convenient Care Clinic, LLC Family CurrentSince Jul 29, 2024 Accepting new patients
Urgent Care for Children, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Apr 1, 2024 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Apr 1, 2024 Accepting new patients
Germantown Emergency Physicians, PLLC CurrentSince Feb 10, 2024 Accepting new patients
Methodist South Emergency Physicians, PLLC CurrentSince Feb 10, 2024 Accepting new patients
Olive Branch Emergency Physicians LLC CurrentSince Mar 20, 2024 Accepting new patients
Methodist North Emergency Physicians, PLLC CurrentSince Feb 10, 2024 Accepting new patients
Convenient Care Clinic, LLC Family CurrentSince Jul 29, 2024 Accepting new patients
Children's Urgent Care, LLC PastSince Nov 30, 2020 Accepting new patients
Golden Triangle Urgent Care LLC Family Past Accepting new patients

Locations

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

555 Highway 6 E
Batesville, MS 38606
Phone (662) 578-2030

3040 Goodman Rd W
Horn Lake, MS 38637
Phone (662) 280-3428

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

397 New Byhalia Rd
Collierville, TN 38017
Phone (901) 860-0536

5215 Highway 153
Ste 105
Hixson, TN 37343
Phone (423) 664-1151

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

Interoperability endpoints

  • Direct secure messaging: aglasner22158@mlh.direct-ci.com

Organizations & group practices 12

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": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1669059069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 HIGHWAY 407",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389679770",
            "telephone_number": "662-310-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 HIGHWAY 407",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389679770",
            "telephone_number": "662-310-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASNER",
        "first_name": "ALLEDA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "940834",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MS

Sources for this page

Verify at the official NPI Registry.