Individual provider Active NPI

Jane Elizabeth Gladfelter, PA-C

  • Medical Physician Assistant
  • Houston, TX
National Provider Identifier
1710223649
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA08142 Issued in TX
Practice address
10950 Resource Pkwy
Suite a
Houston, TX 77089-6158
Phone
(281) 484-5587
NPI assigned
Dec 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA08142 TX Primary

Addresses

Primary practice location

10950 Resource Pkwy
Suite a
Houston, TX 77089-6158

Mailing address

1800 S Egret Bay Blvd
Apt 8107
League City, TX 77573-1420
Phone (202) 450-0026

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

State licenses

LicenseStateTypeSpecialty
PA08142TXMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: jgladfelter151082@memorialhermann.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356048000000",
    "number": "1710223649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 S EGRET BAY BLVD",
            "address_2": "APT 8107",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731420",
            "telephone_number": "202-450-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 RESOURCE PKWY",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896158",
            "telephone_number": "281-484-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADFELTER",
        "first_name": "JANE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-21",
        "last_updated": "2012-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.