Individual provider Active NPI

Cadi Suzanne Gloff, APRN-CNP

  • Family Nurse Practitioner
  • Clifton, TX
National Provider Identifier
1760134787
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1068137 Issued in TX
Practice address
101 Posey Ave
Clifton, TX 76634-1289
Phone
(254) 675-8322
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1068137 TX Primary

Addresses

Primary practice location

101 Posey Ave
Clifton, TX 76634-1289

Mailing address

149 County Road 3270
Clifton, TX 76634-4598

Other names 1

  • Cadi Suzanne Hardy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220302000005 TX Practitioner - Nurse Practitioner 7719371046 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1068137TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Emergency Physicians PA CurrentSince Jan 23, 2024 Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

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": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1760134787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 COUNTY ROAD 3270",
            "city": "CLIFTON",
            "state": "TX",
            "postal_code": "766344598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 POSEY AVE",
            "city": "CLIFTON",
            "state": "TX",
            "postal_code": "766341289",
            "telephone_number": "254-675-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOFF",
        "first_name": "CADI",
        "middle_name": "SUZANNE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1068137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CADI",
            "last_name": "HARDY",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clifton, TX

Sources for this page

Verify at the official NPI Registry.