Active NPI
Jeanette Marie Glimpse, O.T.R.
- Skilled Nursing Facility
- Newton, KS
National Provider Identifier
1700065620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 17-00388
- 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
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 |
|---|---|---|---|---|
| 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.