Richelle Lenae Glenn, RN-MSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN158765 Issued in AZ

Practice address

220 W Kortsen Rd
Casa Grande, AZ 85122-5910

Phone

(520) 836-7787

NPI assigned

Nov 21, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Richelle Lenae Honcoop Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720592124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WEST KORTSEN ROAD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "85722",
            "telephone_number": "520-836-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W KORTSEN RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225910",
            "telephone_number": "520-836-7787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 W Kortsen Rd",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851225910",
            "country_code": "US",
            "telephone_number": "520-836-7787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLENN",
        "first_name": "RICHELLE",
        "middle_name": "LENAE",
        "name_prefix": "Ms.",
        "credential": "RN-MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN158765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHELLE",
            "last_name": "HONCOOP",
            "middle_name": "LENAE",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dasanii Joann Gilder
• Gregory R Giordano, DMD
• Henry L Givre, MD
• Bianca Glab, PHARMD
• Tyler Glassford, FNP-C
• Anna Marie Glickman, FNP-C
• Glorious Care Project LLC
• Aaron Gloskowski, D.O.
• Kip A Goebel, RPH
• Vickie Goen

• Registered Nurse in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.