Organization Active NPI

Timber Creek Consultants Inc.

  • Adult Health Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1801859236
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP450192 Issued in FL
Legal business name
TIMBER CREEK CONSULTANTS INC.
Practice address
6434 NW 42ND Rd
Gainesville, FL 32606-4280
Phone
(352) 378-8934
Fax
(352) 372-1169
NPI assigned
Apr 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Mrs. Kathryn Batten Glazer, ARNPNPI 1952364382
Title
President/Owner
Phone
(352) 378-8934

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X ARNP450192 FL Primary

Addresses

Primary practice location

6434 NW 42ND Rd
Gainesville, FL 32606-4280

Mailing address

6434 NW 42ND Rd
Gainesville, FL 32606-4280
Phone (352) 378-8934

Other identifiers 3

IdentifierTypeStateIssuer
306748300MedicaidFL
P00209328OtherFLRR MEDICARE
E3107OtherFLBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1801859236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6434 NW 42ND RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326064280",
            "telephone_number": "352-378-8934",
            "fax_number": "352-372-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6434 NW 42ND RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326064280",
            "telephone_number": "352-378-8934",
            "fax_number": "352-372-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBER CREEK CONSULTANTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "GLAZER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "BATTEN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "352-378-8934",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP450192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306748300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00209328",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "E3107",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.