Individual provider Active NPI

Jeanette Marie Glimpse, O.T.R.

  • Skilled Nursing Facility
  • Newton, KS
National Provider Identifier
1700065620
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
17-00388 Issued in KS
Practice address
115 S Pine St
Newton, KS 67114-3743
Phone
(316) 284-0827
NPI assigned
Oct 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 17-00388 KS Primary

Addresses

Primary practice location

115 S Pine St
Newton, KS 67114-3743

Mailing address

115 S Pine St
Newton, KS 67114-3743
Phone (316) 284-0827

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1193443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193443200000",
    "number": "1700065620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S PINE ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671143743",
            "telephone_number": "316-284-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S PINE ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671143743",
            "telephone_number": "316-284-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIMPSE",
        "first_name": "JEANETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-27",
        "last_updated": "2007-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "17-00388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; 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.