Active NPI
Kayla Glenn
- Health Educator
- Iowa City, IA
National Provider Identifier
1669165692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 412 Westgate St
Iowa City, IA 52246-3127 - Phone
- (515) 835-8387
- NPI assigned
- May 26, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
412 Westgate St
Iowa City, IA 52246-3127
Mailing address
3965 Holcomb Bridge Rd Ste 100
Peachtree Corners, GA 30092-2203
Phone (770) 450-8677
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1669165692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3965 HOLCOMB BRIDGE RD STE 100",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300922203",
"telephone_number": "770-450-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 WESTGATE ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522463127",
"telephone_number": "515-835-8387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-26",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.