Individual provider Active NPI

Julianne S Glover, AGNP-C

  • Gerontology Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1720576937
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP137271 Issued in TX
Practice address
5449 Bear LN Ste 308
Corpus Christi, TX 78405-4124
Phone
(361) 371-3710
Fax
(361) 371-3444
NPI assigned
Apr 24, 2018
Last updated
Jul 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP137271 TX Primary

Addresses

Primary practice location

5449 Bear LN Ste 308
Corpus Christi, TX 78405-4124

Mailing address

5449 Bear LN Ste 308
Corpus Christi, TX 78405-4124
Phone (361) 371-3710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20180504001139 TX Practitioner - Nurse Practitioner 9739443433 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Networks, Inc. CurrentSince May 1, 2018 Accepting new patients
Wellmed Medical Group, PA CurrentSince Feb 1, 2025 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Feb 1, 2025 Accepting new patients

Locations

2401 Morgan Ave
Corpus Christi, TX 78405
Phone (361) 371-3710

5449 Bear Ln
Ste 308
Corpus Christi, TX 78405
Phone (361) 371-3710

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: julianne.glover@wellmed.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1720576937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5449 BEAR LN STE 308",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784054124",
            "telephone_number": "361-371-3710",
            "fax_number": "361-371-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5449 BEAR LN STE 308",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784054124",
            "telephone_number": "361-371-3710",
            "fax_number": "361-371-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "JULIANNE",
        "middle_name": "S",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP137271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.