Individual provider Active NPI

Gloria Izore, CRNP

  • Family Nurse Practitioner
  • Olney, MD
National Provider Identifier
1831725993
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R182363 Issued in MD
Practice address
19101 Willow Grove Rd
Olney, MD 20832-1232
Phone
(202) 680-0288
NPI assigned
Mar 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R182363 MD Primary

Addresses

Primary practice location

19101 Willow Grove Rd
Olney, MD 20832-1232

Mailing address

10500 Little Patuxent Pkwy # 1213
Columbia, MD 21044-3585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220713000253 DC Practitioner - Family Practice 4981098159 Reassigns benefits to 1 organization
I20250115002058 MD Practitioner - Nurse Practitioner 4981098159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Highways LLC CurrentSince Jan 6, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 5, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 5, 2022 Accepting new patients
NP Care, LLC Family CurrentSince Jan 6, 2025 Accepting new patients

Locations

10500 Little Patuxent Pkwy
#1213
Columbia, MD 21044
Phone (410) 479-6368

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Organizations & group practices 4

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": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1831725993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 LITTLE PATUXENT PKWY # 1213",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19101 WILLOW GROVE RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321232",
            "telephone_number": "202-680-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZORE",
        "first_name": "GLORIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2024-03-20",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R182363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.