Georgene Taneisha Glass, CHW

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

8352 W Warm Springs Rd Ste 200
Las Vegas, NV 89113-3629

Phone

(702) 330-0555

NPI assigned

May 25, 2023

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1801588058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 GREENSMEN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891563788",
            "telephone_number": "702-723-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8352 W WARM SPRINGS RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133629",
            "telephone_number": "702-330-0555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6821 Greensmen Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891563788",
            "country_code": "US",
            "telephone_number": "702-723-2286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASS",
        "first_name": "GEORGENE",
        "middle_name": "TANEISHA",
        "credential": "CHW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aeiramique G Glass
• Chad Glass
• Christine Glass, RN
• Delores Glass
• Emily Glass
• Juana Glass
• Kevin L Glass Jr.
• Loretta S Glass
• Lushus N Glass
• Rashion Cheri Glass

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.