Glen A Sinks, FNP, BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

116464 Issued in MO

Practice address

4371 Iron Mountain BLF
Arnold, MO 63010-4370

Phone

(636) 464-7884

NPI assigned

Jul 14, 2006

Last updated

May 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: glen.sinks.1@14940.direct.athenahealth.com

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1689690810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 IRON MOUNTAIN BLF",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630104370",
            "telephone_number": "636-464-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 IRON MOUNTAIN BLF",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630104370",
            "telephone_number": "636-464-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINKS",
        "first_name": "GLEN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "FNP, BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "116464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429058902",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sicati Consulting LLC
• Katherine D Siebert, F.N.P.
• Paige Sielfleisch
• Eric Siesener
• Michael Singleton, LPC
• Katherine Skrade, DNP, PMHNP-BC
• Collin B Slater, PLPC
• Karen K Slattery, FNP
• Caige R Smith, PT, DPT
• Kyle Anthony Smith

• Family Nurse Practitioner in Arnold, MO
• Providers in Arnold, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.