Active NPI
Glenda Gant-London, NP
- Family Nurse Practitioner
- Chalmette, LA
National Provider Identifier
1851486922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP04915
- Practice address
- 1100 E Judge Perez Dr
Chalmette, LA 70043-5405 - Phone
- (504) 333-6988
- Fax
- (504) 342-2184
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN063028 | LA | |
| Family Nurse Practitioner | 363LF0000X | AP04915 | LA | Primary |
Addresses
Primary practice location
1100 E Judge Perez Dr
Chalmette, LA 70043-5405
Mailing address
360 Oak Harbor Blvd
Slidell, LA 70458-5702
Phone (985) 726-9333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070612000743 | LA | Practitioner - Nurse Practitioner | 4284732496 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP04915 | LA | MD | Family Nurse Practitioner |
| RN063028 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crescent City Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Interoperability endpoints
- glenda.gant-london.1@24187.direct.athenahealth.com
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.
-
- Student Health Clinic/Center
- Chalmette, LA
- NPI 1093846354
LA
-
- Certified Registered Nurse Anesthetist
- Metairie, LA
- NPI 1205888484
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1851486922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 OAK HARBOR BLVD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704585702",
"telephone_number": "985-726-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E JUDGE PEREZ DR",
"city": "CHALMETTE",
"state": "LA",
"postal_code": "700435405",
"telephone_number": "504-333-6988",
"fax_number": "504-342-2184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANT-LONDON",
"first_name": "GLENDA",
"name_prefix": "Dr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "RN063028",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP04915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chalmette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.