Active NPI
Gloria Jean Chrisman, LPN
- Licensed Vocational Nurse
- Fairborn, OH
National Provider Identifier
1821231945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- PN.131261 IV
- Practice address
- 2977 Colonel Glenn Highway
Fairborn, OH 45324 - Phone
- (937) 878-6522
- NPI assigned
- Apr 20, 2009
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | PN.131261 IV | OH | Primary |
Addresses
Primary practice location
2977 Colonel Glenn Highway
Fairborn, OH 45324
Mailing address
2977 Colonel Glenn Highway
Fairborn, OH 45324
Phone (937) 878-6522
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 |
|---|---|---|---|
| PN.131261 IV | OH | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240185600000",
"number": "1821231945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2977 COLONEL GLENN HIGHWAY",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "45324",
"telephone_number": "937-878-6522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2977 COLONEL GLENN HIGHWAY",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "45324",
"telephone_number": "937-878-6522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISMAN",
"first_name": "GLORIA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-20",
"last_updated": "2009-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "OH",
"license": "PN.131261 IV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairborn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.