Individual provider Active NPI

Linda Derleth Glathar, RNC BSN

  • Registered Nurse
  • Fairport, NY
National Provider Identifier
1801071485
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
285703 Issued in NY
Practice address
40 Winding Brook Dr
Fairport, NY 14450-2642
Phone
(585) 223-6199
NPI assigned
Jan 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 285703 NY Primary

Addresses

Primary practice location

40 Winding Brook Dr
Fairport, NY 14450-2642

Mailing address

40 Winding Brook Dr
Fairport, NY 14450-2642
Phone (585) 223-6199

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)
Not enrolled
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
285703NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1801071485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WINDING BROOK DR",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502642",
            "telephone_number": "585-223-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WINDING BROOK DR",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502642",
            "telephone_number": "585-223-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLATHAR",
        "first_name": "LINDA",
        "middle_name": "DERLETH",
        "name_prefix": "Ms.",
        "credential": "RNC BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "285703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.