Individual provider Active NPI

Lisa M Glantz, RNC-NIC, ARNP, DNP

  • Critical Care Neonatal Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1790967081
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
K105229 Issued in IA
Practice address
1200 Pleasant St
Blank Childrens Hospital Nicu
Des Moines, IA 50309-1406
Phone
(515) 241-5926
Fax
(515) 241-5127
NPI assigned
Nov 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X K105229 IA Primary

Addresses

Primary practice location

1200 Pleasant St
Blank Childrens Hospital Nicu
Des Moines, IA 50309-1406

Mailing address

1200 Pleasant St
Blank Childrens Hospital Nicu
Des Moines, IA 50309-1406
Phone (515) 241-5926

Other identifiers 2

IdentifierTypeStateIssuer
1790967081MedicaidIA
100264995-00MedicaidNE

Other names 1

  • Mrs. Lisa M Glantz-Williamson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20100921000316 IA Practitioner - Nurse Practitioner 8628193158 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K105229IAMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Aug 1, 2010 Accepting new patients
Salahuddin Syed MD PC Current Accepting new patients
The Finley Hospital CurrentSince Jul 15, 2024 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Jan 8, 2019 Accepting new patients
Central Iowa Hospital Corporation Current Accepting new patients
The Finley Hospital CurrentSince Jul 15, 2024 Accepting new patients
Trinity Regional Medical Center CurrentSince Dec 29, 2021 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Jan 8, 2019 Accepting new patients
Central Iowa Hospital Corporation CurrentSince Aug 1, 2010 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

1200 Pleasant St
Rm 236
Des Moines, IA 50309
Phone (515) 241-6228

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

1500 Delhi St
Ste 4300
Dubuque, IA 52001
Phone (563) 557-5971

350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

1660 60th St
West Des Moines, IA 50266
Phone (515) 241-2250

Interoperability endpoints

  • Direct secure messaging: lglantzwilliamson9984@direct.unitypoint.org

Organizations & group practices 10

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": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1790967081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT ST",
            "address_2": "BLANK CHILDRENS HOSPITAL NICU",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406",
            "telephone_number": "515-241-5926",
            "fax_number": "515-241-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT ST",
            "address_2": "BLANK CHILDRENS HOSPITAL NICU",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406",
            "telephone_number": "515-241-5926",
            "fax_number": "515-241-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLANTZ",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RNC-NIC, ARNP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "IA",
            "license": "K105229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790967081",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100264995-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GLANTZ-WILLIAMSON",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "NNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.