Individual provider Active NPI

Glenda Ackland, RN

  • Registered Nurse
  • Omaha, NE
National Provider Identifier
1831622364
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
76546 Issued in NE
Practice address
6430 N 66TH St
Omaha, NE 68104-1138
Phone
(402) 896-9988
Fax
(402) 933-6310
NPI assigned
Apr 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 76546 NE Primary

Addresses

Primary practice location

6430 N 66TH St
Omaha, NE 68104-1138

Mailing address

10011 J St
Omaha, NE 68127-1106
Phone (402) 896-9988

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
76546NEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic PastSince Oct 1, 2023 Accepting new patients
Richard M Buttner DPT PC Past Accepting new patients

Organizations & group practices 2

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1831622364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 J ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271106",
            "telephone_number": "402-896-9988",
            "fax_number": "402-933-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 N 66TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681041138",
            "telephone_number": "402-896-9988",
            "fax_number": "402-933-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKLAND",
        "first_name": "GLENDA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "76546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.