Shaylonna Glenn

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703103664 Issued in MI

Practice address

8268 Riverview St
Dearborn Heights, MI 48127-1414

Phone

(313) 974-8933

NPI assigned

May 23, 2016

Sex

Female

Sole proprietor

No

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": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1760839427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8268 RIVERVIEW ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271414",
            "telephone_number": "313-974-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8268 RIVERVIEW ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271414",
            "telephone_number": "313-974-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "SHAYLONNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703103664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghaleb F Hatem, MD, PC
• Reem Ghaleb
• Raghda Gharib
• Zeina Ghoul, PHD, LPC
• Isaiah Gibbs
• Global Autism Services LLC
• Sara Lynn Goetz
• Christine Latka Goldberg, BA
• Golden Hand Home Care LLC
• Golden Physical Therapy PLLC

• Licensed Practical Nurse in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.