Melissa Glasscock, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043.129363 Issued in IL

Practice address

11531 Sunderland Rd
Marion, IL 62959-8274

Phone

(618) 964-5139

NPI assigned

Nov 23, 2020

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

Other names 1

• Melissa Burlison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1851995609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BLACKMAN HILL RD",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629465700",
            "telephone_number": "618-314-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11531 SUNDERLAND RD",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629598274",
            "telephone_number": "618-964-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSCOCK",
        "first_name": "MELISSA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043.129363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BURLISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jami B Giroux
• Sieger Giroux, M.S, R.D., L.D.N
• Denise Givens
• Gina Gladson, MSN FNP-C
• Andrea Glascock, BA
• Christopher Glazik Jr., FNP-BC
• Kimberly Marie Goddard, A-GNP-C
• Michael Golliher
• Ariel J Gonzalez
• Kristi Gooch

• Licensed Practical Nurse in Marion, IL
• Providers in Marion, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.