Active NPI
Glenda M. Yetter, N.P.
- Nurse Practitioner
- Banning, CA
National Provider Identifier
1699715714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5357
- Practice address
- 5957 W Ramsey St
Banning, CA 92220-3058 - Phone
- (951) 845-0313
- NPI assigned
- Jun 7, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5357 | CA | Primary |
Addresses
Primary practice location
5957 W Ramsey St
Banning, CA 92220-3058
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ14571Z | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5357 | CA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Medical Group P C | Past | Accepting new patients | |
| Diagnostic Imaging Services | Past | Accepting new patients |
Interoperability endpoints
- gyetter11156@epiclp.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
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- NPI 1649503319
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Family Medicine Physician
- Redlands, CA
- NPI 1275570830
-
- Magnetic Resonance Imaging (MRI) Internal Medicine Physician
- Metairie, LA
- NPI 1699793166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1699715714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5957 W RAMSEY ST",
"city": "BANNING",
"state": "CA",
"postal_code": "922203058",
"telephone_number": "951-845-0313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YETTER",
"first_name": "GLENDA",
"middle_name": "M.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "5357",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ14571Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Banning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.