Kristin Ashley Glaab-Chandy, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704290345 Issued in MI

Practice address

23133 Orchard Lake Rd Ste 100
Farmington, MI 48336-3278

Phone

(248) 477-0100

NPI assigned

Mar 11, 2020

Last updated

Nov 16, 2023By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AJFBBA
• Direct secure messaging: kglaabchandy1235217@epic00.shdirect.org
• Direct secure messaging: kglaabchandy193500@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Botsford General Hospital

  • Pediatrics Physician
  • Farmington, MI
  • NPI 1437191947
  NPD
• Botsford General Hospital

  dba Midwest Urgent Care

  • Urgent Care Clinic/Center
  • Redford, MI
  • NPI 1831402056
  NPD
• Nephrology Hypertension Clinic, PC

  • Nephrology Physician
  • Allen Park, MI
  • NPI 1053466094
  NPD
• Botsford General Hospital

  dba Beaumont Hospital-Farmington Hills

  • General Acute Care Hospital
  • Farmington Hills, MI
  • NPI 1336183367
  NPD (past)
• Botsford General Hospital

  dba Botsford Pediatric Assoc (NP)

  • Pediatric Registered Nurse
  • Farmington, MI
  • NPI 1417134149
  NPD (past)
• Nephrology Hypertension Clinic PC

  • Nephrology Physician
  • Allen Park, MI
  • NPI 1225103740
  NPD (past)

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1790310530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23133 ORCHARD LAKE RD STE 100",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363278",
            "telephone_number": "248-477-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16407 Southfield Rd",
            "address_purpose": "LOCATION",
            "city": "Allen Park",
            "state": "MI",
            "postal_code": "481012571",
            "country_code": "US",
            "telephone_number": "313-271-3000",
            "fax_number": "313-271-3003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLAAB-CHANDY",
        "first_name": "KRISTIN",
        "middle_name": "ASHLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704290345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kglaabchandy6564799@direct.beaumont.org",
            "affiliation": "N",
            "address_1": "23133 Orchard Lake Rd Ste 100",
            "city": "Farmington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483363278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• GD Mi Farmington PLLC (Roman Shlafer DDS)
• Gennao LLC (Farmington Birth Center)
• Jeffrey Dennis Ghioto, D.O.
• Dean A. Gilbert, D.D.S.
• Ginas Bowen Therapy (Massage Therapist)
• Roger Goble
• Kathleen Marie Gormley, RD
• Great Lakes Care Partners Inc
• Alyson Maryann Greenwell, MD
• Kirk Patrick Guanco, LMSW

• Nurse Practitioner in Farmington, MI
• Providers in Farmington, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.