Individual provider Active NPI

Jamie B. Glenn, CNM, MS

  • Advanced Practice Midwife
  • Butte, MT
National Provider Identifier
1780856161
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN35661 Issued in MT
Practice address
401 S Alabama St
Suite 1
Butte, MT 59701-2315
Phone
(409) 723-8051
Fax
(406) 723-8063
NPI assigned
Mar 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN35661 MT Primary

Addresses

Primary practice location

401 S Alabama St
Suite 1
Butte, MT 59701-2315

Mailing address

401 S Alabama St
Suite 1
Butte, MT 59701-2315
Phone (409) 723-8051

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)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science

State licenses

LicenseStateTypeSpecialty
RN35661MTMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1780856161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S ALABAMA ST",
            "address_2": "SUITE 1",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012315",
            "telephone_number": "409-723-8051",
            "fax_number": "406-723-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S ALABAMA ST",
            "address_2": "SUITE 1",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012315",
            "telephone_number": "409-723-8051",
            "fax_number": "406-723-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "JAMIE",
        "middle_name": "B.",
        "credential": "CNM, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MT",
            "license": "RN35661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.