Active NPI
Glenda Kay Wilson, RN
- Registered Nurse
- Parker, CO
National Provider Identifier
1669140141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.0194217
- Practice address
- 17726 E Emilia Dr
Parker, CO 80134-7805 - Phone
- (303) 880-1337
- NPI assigned
- Aug 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.0194217 | CO | Primary |
Addresses
Primary practice location
17726 E Emilia Dr
Parker, CO 80134-7805
Mailing address
17726 E Emilia Dr
Parker, CO 80134-7805
Phone (303) 880-1337
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Epic |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.0194217 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1669140141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17726 E EMILIA DR",
"city": "PARKER",
"state": "CO",
"postal_code": "801347805",
"telephone_number": "303-880-1337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17726 E EMILIA DR",
"city": "PARKER",
"state": "CO",
"postal_code": "801347805",
"telephone_number": "303-880-1337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "GLENDA",
"middle_name": "KAY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN.0194217",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Epic",
"affiliation": "N",
"address_1": "17726 E Emilia Dr",
"city": "Parker",
"state": "CO",
"country_code": "US",
"postal_code": "801347805",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.