Active NPI
Glenn C Hildreth, RRT
- Certified Respiratory Therapist
- Pensacola, FL
National Provider Identifier
1750307229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- RT6634
- Practice address
- 5153 N 9TH Ave
Pensacola, FL 32504-8785 - Phone
- (850) 505-4700
- Fax
- (850) 505-4711
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | RT6634 | FL | |
| Certified Respiratory Therapist | 227800000X | RT6634 | FL | Primary |
Addresses
Primary practice location
5153 N 9TH Ave
Pensacola, FL 32504-8785
Mailing address
Nemours Children&Apos S Clinic
P.O. Box 409992
Atlanta, GA 30384-0001
Phone (904) 390-3610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 886758500 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RT6634 | FL | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1750307229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NEMOURS CHILDREN&APOS S CLINIC",
"address_2": "P.O. BOX 409992",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303840001",
"telephone_number": "904-390-3610",
"fax_number": "904-288-5890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5153 N 9TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048785",
"telephone_number": "850-505-4700",
"fax_number": "850-505-4711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDRETH",
"first_name": "GLENN",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "RRT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "FL",
"license": "RT6634",
"primary": false
},
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "FL",
"license": "RT6634",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "886758500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.