Active NPI
Gloria Caldwell, RN
- Registered Nurse
- Erie, PA
National Provider Identifier
1740600055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN620996
- Practice address
- 1647 Sassafras St
Ste 300
Erie, PA 16502-1858 - Phone
- (814) 877-6531
- NPI assigned
- Apr 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN620996 | PA | Primary |
Addresses
Primary practice location
1647 Sassafras St
Ste 300
Erie, PA 16502-1858
Mailing address
1647 Sassafras St
Ste 300
Erie, PA 16502-1858
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN620996 | PA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398384000000",
"number": "1740600055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1647 SASSAFRAS ST",
"address_2": "STE 300",
"city": "ERIE",
"state": "PA",
"postal_code": "165021858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1647 SASSAFRAS ST",
"address_2": "STE 300",
"city": "ERIE",
"state": "PA",
"postal_code": "165021858",
"telephone_number": "814-877-6531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "GLORIA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-25",
"last_updated": "2014-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN620996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.