Individual provider Active NPI

Cristina Glavnenco

  • Nurse's Aide
  • Renton, WA
National Provider Identifier
1750260642
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
60863964 Issued in WA
Practice address
1616 Morris Ave S
Renton, WA 98055-3334
Phone
(206) 432-0221
Fax
(425) 207-8121
NPI assigned
Aug 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 60863964 WA Primary

Addresses

Primary practice location

1616 Morris Ave S
Renton, WA 98055-3334

Mailing address

1616 Morris Ave S
Renton, WA 98055-3334
Phone (206) 432-0221

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

State licenses

LicenseStateTypeSpecialty
60863964WAMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
New Option Elderly Living, LLC CurrentSince Sep 3, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1750260642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 MORRIS AVE S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980553334",
            "telephone_number": "206-432-0221",
            "fax_number": "425-207-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 MORRIS AVE S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980553334",
            "telephone_number": "206-432-0221",
            "fax_number": "425-207-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAVNENCO",
        "first_name": "CRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WA",
            "license": "60863964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.