Caroline Glenn, MED, LAT, ATC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

1842 Issued in AL

Practice address

5345 Atlanta Hwy
Montgomery, AL 36109-3323

Phone

(334) 386-7151

NPI assigned

Dec 11, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Faulkner University

  • Hearing and Speech Clinic/Center
  • Montgomery, AL
  • NPI 1659865335
  NPD (past)

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

{
    "created_epoch": "1481414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481414400000",
    "number": "1831633817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8275 FAIRHAVEN LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176316",
            "telephone_number": "912-657-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 ATLANTA HWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361093323",
            "telephone_number": "334-386-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "CAROLINE",
        "credential": "MED, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-11",
        "last_updated": "2016-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AL",
            "license": "1842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade A Glass, ATC
• Stacy Hoffman Glass, NP
• Glenda Atilano MD LLC
• Glenn J Saucer MD PA
• Brandon Glenn
• Michael Earl Glenn
• Glenwood
• Global Imaging LLC
• Aldreaka Deshawn Glover, RN
• Kaley Howard Glover

• Community Health Worker in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Community Health Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2016; 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.