Individual provider Active NPI

Natacha Yvette Johnson-Glover

  • Registered Nurse
  • Live Oak, TX
National Provider Identifier
1851374524
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
694368 Issued in TX
Practice address
11016 Forest Shower
Live Oak, TX 78233-4307
Phone
(210) 599-6623
NPI assigned
Nov 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 694368 TX Primary

Addresses

Primary practice location

11016 Forest Shower
Live Oak, TX 78233-4307

Mailing address

18TH Medcom
Attn: DCCS-QM (Credentials)
Apo, AP AP
KR
Phone 01182279166027

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

LicenseStateTypeSpecialty
694368TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1132963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851374524",
    "addresses": [
        {
            "country_code": "KR",
            "country_name": "Korea, Republic of",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "18TH MEDCOM",
            "address_2": "ATTN: DCCS-QM (CREDENTIALS)",
            "city": "APO",
            "state": "AP",
            "postal_code": "AP",
            "telephone_number": "01182279166027",
            "fax_number": "01182279178110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11016 FOREST SHOWER",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782334307",
            "telephone_number": "210-599-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-GLOVER",
        "first_name": "NATACHA",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "694368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.