Glenda Sherry Peveto

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP95015571 Issued in CA

Practice address

1303 E Herndon Ave
Fresno, CA 93720-3309

Phone

(318) 267-2552

NPI assigned

Oct 13, 2020

Last updated

Oct 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glenwood Regional Medical Center Hospital, West Monroe, LA, CCN 190160

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pegasus Primary Providers, LLC

  • Nurse Practitioner
  • West Monroe, LA
  • NPI 1982486395
  Medicare reassignment NPD Authorized official
• Physician Group of Louisiana Inc

  • General Practice Physician
  • West Monroe, LA
  • NPI 1316188998
  Medicare reassignment NPD
• Physician Group of Louisiana Inc

  dba Steward Medical Group of Louisiana

  • Family Medicine Physician
  • West Monroe, LA
  • NPI 1013486059
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hsa Glenwood, LLC

  • General Acute Care Hospital
  • West Monroe, LA
  • NPI 1548083421
  Care Compare affiliation

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1700484680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2858 E MILLBRAE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937104825",
            "telephone_number": "318-267-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203309",
            "telephone_number": "318-267-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEVETO",
        "first_name": "GLENDA",
        "middle_name": "SHERRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95015571",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "215719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne S Petrovich, PHD
• Michael Petrovich, PH.D.
• Courtenay Elizabeth Pettigrew, M.D.
• Howard David Pettigrew, MD, PHD
• Sonya D Pettus, MD
• Deanna Duran Peyghambary
• Brooke Catherine Pfister, M.S., LMFT
• Colton Lee Pfister, PHARMD
• Alawna Pha
• Juanita Pha

• Nurse Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.