Active NPI
Marie C Gladden, DOCTORATE
- Specialist
- Charlotte, NC
National Provider Identifier
1811310329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 15944
- Practice address
- 9635 Southern Pine Blvd
Ste 154
Charlotte, NC 28273-5558 - Phone
- (800) 570-2668
- NPI assigned
- Feb 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 15944 | DE | Primary |
Addresses
Primary practice location
9635 Southern Pine Blvd
Ste 154
Charlotte, NC 28273-5558
Mailing address
4528 Tabcat CT
Charlotte, NC 28273-4540
Phone (800) 570-2668
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15944 | DE | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391472000000",
"number": "1811310329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4528 TABCAT CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282734540",
"telephone_number": "800-570-2668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9635 SOUTHERN PINE BLVD",
"address_2": "STE 154",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282735558",
"telephone_number": "800-570-2668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADDEN",
"first_name": "MARIE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DOCTORATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-04",
"last_updated": "2014-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "DE",
"license": "15944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.