Individual provider Active NPI

Elva L Gloyna, RN

  • School Registered Nurse
  • Portales, NM
National Provider Identifier
1821501636
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN-79457 Issued in NM
Practice address
700 E 3Rd St
Portales, NM 88130-6025
Phone
(575) 356-7045
Fax
(575) 359-0826
NPI assigned
Nov 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN-79457 NM Primary

Addresses

Primary practice location

700 E 3Rd St
Portales, NM 88130-6025

Mailing address

501 S Abilene Ave
Portales, NM 88130-6380
Phone (575) 356-7000

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-79457NMMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Portales Municipal Schools Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1821501636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S ABILENE AVE",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306380",
            "telephone_number": "575-356-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 3RD ST",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306025",
            "telephone_number": "575-356-7045",
            "fax_number": "575-359-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOYNA",
        "first_name": "ELVA",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "RN-79457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portales, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.