Individual provider Active NPI

Elizabeth Ardoin Glass, CRNP

  • Family Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1740144963
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-193486 Issued in AL
Practice address
701 University Blvd E Ste 400
Tuscaloosa, AL 35401-7428
Phone
(205) 752-0694
NPI assigned
Dec 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-193486 AL Primary

Addresses

Primary practice location

701 University Blvd E Ste 400
Tuscaloosa, AL 35401-7428

Mailing address

701 University Blvd E Ste 400
Tuscaloosa, AL 35401-7428
Phone (205) 752-0694

Other practice location 1

809 University Blvd E
Tuscaloosa, AL 35401-2071
Phone (205) 759-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20260220003216 AL Practitioner - Nurse Practitioner 9739660481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

701 University Blvd E
Suite 400
Tuscaloosa, AL 35401-7428
Phone (205) 752-0694

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-193486ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Druid City Physician Services, LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

701 University Blvd E
Ste 400
Tuscaloosa, AL 35401
Phone (205) 752-0694

701 University Blvd E
Ste 807
Tuscaloosa, AL 35401
Phone (205) 333-4528

3901 Greensboro Ave
Ste A
Tuscaloosa, AL 35405
Phone (205) 759-6165

Organizations & group practices 2

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1740144963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E STE 400",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017428",
            "telephone_number": "205-752-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E STE 400",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017428",
            "telephone_number": "205-752-0694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 University Blvd E",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354012071",
            "country_code": "US",
            "telephone_number": "205-759-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASS",
        "first_name": "ELIZABETH",
        "middle_name": "ARDOIN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-193486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.