Active NPI
Cheryl Glasscock
- Early Intervention Provider Agency
- Jemison, AL
National Provider Identifier
1750832879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 0219
- Practice address
- 1589 County Road 152
Jemison, AL 35085-5156 - Phone
- (205) 572-1368
- Fax
- (205) 688-4929
- NPI assigned
- Oct 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 0219 | AL | Primary |
Addresses
Primary practice location
1589 County Road 152
Jemison, AL 35085-5156
Mailing address
1589 County Road 152
Jemison, AL 35085-5156
Phone (205) 572-1368
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 |
|---|---|---|---|
| 0219 | AL | MD | Early Intervention Provider Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1750832879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1589 COUNTY ROAD 152",
"city": "JEMISON",
"state": "AL",
"postal_code": "350855156",
"telephone_number": "205-572-1368",
"fax_number": "205-688-4929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1589 COUNTY ROAD 152",
"city": "JEMISON",
"state": "AL",
"postal_code": "350855156",
"telephone_number": "205-572-1368",
"fax_number": "205-688-4929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASSCOCK",
"first_name": "CHERYL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-24",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "AL",
"license": "0219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jemison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.