Lawanda Glass, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

902444 Issued in MS

Practice address

714 3Rd St
Cleveland, MS 38732

Phone

(662) 846-2620

Fax

(662) 846-2660

NPI assigned

Oct 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL, MS, TN, WA4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Case Management IncGroup PAC ID 5991807570, 7 clinicians

Truhealth LLCGroup PAC ID 2163653478, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lawanda.glass.1@24287.direct.athenahealth.com

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.

• Case Management Inc

  • Case Management Agency
  • Memphis, TN
  • NPI 1326116476
  Medicare reassignment Care Compare group NPD
• Truhealth, LLC

  • Nurse Practitioner
  • Parsons, TN
  • NPI 1063843951

  AL

  Medicare reassignment Care Compare group NPD
• Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1013303080

  WA

  Medicare reassignment NPD
• Behavioral Healthcare Center at Clarksville, LLC

  dba Unity Psychiatric Care- Clarksville

  • Psychiatric Hospital
  • Clarksville, TN
  • NPI 1346570777
  Medicare reassignment NPD
• Behavioral Healthcare Center at Memphis, LLC

  • Psychiatric Hospital
  • Memphis, TN
  • NPI 1235516097
  Medicare reassignment NPD
• Crestwyn Health Group, LLC

  dba Crestwyn Behavioral Health

  • Psychiatry Physician
  • Memphis, TN
  • NPI 1417458944
  Medicare reassignment NPD
• Forefront Telecare Inc

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1174035612

  AL, MS

  Medicare reassignment NPD
• Forefront-Rosenzweig Medical Services Professional Corporation

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1588101745

  WA

  Medicare reassignment NPD
• Region VI Community Mental Health Commission

  dba Life Help

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwood, MS
  • NPI 1154433233
  NPD
• Your Community Health & Wellness

  • Multi-Specialty Clinic/Center
  • Memphis, TN
  • NPI 1154793727
  NPD
• Garden Park

  dba Region VI Mental Health/Mental Retardation Commission

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwood, MS
  • NPI 1932437209
  NPD (past)

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1740791722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1505",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389351505",
            "telephone_number": "662-453-6211",
            "fax_number": "662-458-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 3RD ST",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "38732",
            "telephone_number": "662-846-2620",
            "fax_number": "662-846-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "LAWANDA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "902444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330000014",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genesis Hospice Care
• Genesis Hospice Care
• Genesis Hospice Care, LLC
• GHC (Genesis Home Care Link)
• GHC (Genesis Home Care Link)
• James David Goodman, R.PH.
• Celestial Green-Pates
• Greenwood Leflore Hospital (Cleveland Family Medical Clinic)
• Amanda Griffin, PHARMD
• Laura Griffin

• Psychiatric/Mental Health Nurse Practitioner in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.