Active NPI
Amber M Glassford
- Behavior Analyst
- Canton, OH
National Provider Identifier
1710603204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 515 Kennet CT NW
Canton, OH 44708-4957 - Phone
- (330) 413-0805
- NPI assigned
- Oct 17, 2022
- Last updated
- Nov 21, 2022
- 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 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | ||
| Nursing Care Agency | 251J00000X | NU | ||
| Attendant Care Provider | 3747A0650X | NU | ||
| Home Health Aide | 374U00000X | NU | ||
| Nurse's Aide | 376K00000X | 400712260108 | OH | |
| Respite Care | 385H00000X | NU | ||
| Driver | 172A00000X | SJ633064 | OH | |
| Community Health Worker | 172V00000X | NU | ||
| Behavior Analyst | 103K00000X | NU | Primary | |
| Meals Provider | 174200000X | NU | ||
| Assistant Behavior Analyst | 106E00000X | OH |
Addresses
Primary practice location
515 Kennet CT NW
Canton, OH 44708-4957
Mailing address
515 Kennet CT NW
Canton, OH 44708-4957
Phone (330) 413-0805
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | careforyours@outlook.com | Health Information Exchange (HIE) |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SJ633064 | OH | MD | Driver |
| 400712260108 | OH | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1710603204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 KENNET CT NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447084957",
"telephone_number": "330-413-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 KENNET CT NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447084957",
"telephone_number": "330-413-0805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASSFORD",
"first_name": "AMBER",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-17",
"last_updated": "2022-11-21",
"certification_date": "2022-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "400712260108",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "SJ633064",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "OH",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "careforyours@outlook.com",
"affiliation": "N",
"endpointDescription": "careforyours@outlook.com",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "careforyours",
"address_1": "515 Kennet Ct NW",
"city": "Canton",
"state": "OH",
"country_code": "US",
"postal_code": "447084957",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.