Gina Diane Glassford, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146009099 Issued in IL

Practice address

206 5TH St
Hampton, IL 61256-9662

Phone

(309) 755-0693

NPI assigned

Sep 22, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1750890737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 11TH AVENUE A",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612652863",
            "telephone_number": "309-781-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 5TH ST",
            "city": "HAMPTON",
            "state": "IL",
            "postal_code": "612569662",
            "telephone_number": "309-755-0693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9424 256th St N",
            "address_purpose": "LOCATION",
            "city": "Port Byron",
            "state": "IL",
            "postal_code": "612759727",
            "country_code": "US",
            "telephone_number": "309-523-3186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASSFORD",
        "first_name": "GINA",
        "middle_name": "DIANE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146009099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard L Day Jr., DDS
• Melissa Ann Duncan
• Tracey Lee Earl, RN
• Greggory Goodman
• Kelly Gray, LMT
• Hampton Health and Wellness
• Hampton School District 29
• Alyssa Morrissey

• Speech-Language Pathologist in Hampton, IL
• Providers in Hampton, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.