Glenda Wilburn, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0376885-22 Issued in TX

Practice address

610 Strickland Dr Ste 340
Orange, TX 77630-4788

Phone

(409) 670-0044

Fax

(409) 670-0007

NPI assigned

May 29, 2008

Sex

Female

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gordon and Parker, LLPGroup PAC ID 3577690924, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gordon and Parker, LLP

  • Family Medicine Physician
  • Orange, TX
  • NPI 1992873368
  Medicare reassignment Care Compare group NPD
• Lakeland Radiologists LTD

  • Diagnostic Radiology Physician
  • Charleston, IL
  • NPI 1891782090
  NPD (past)

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1861650574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 STRICKLAND DR STE 340",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776304788",
            "telephone_number": "409-670-0044",
            "fax_number": "409-670-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 STRICKLAND DR STE 340",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776304788",
            "telephone_number": "409-670-0044",
            "fax_number": "409-670-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "GLENDA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "0376885-22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #03081)
• Kyle Mathew Walker, D.D.S.
• Mark A. Weaver, O.D.
• Steven Michael Wesolowski, PTA
• West Orange-Cove Consolidated Independent School District
• Katie Lorraine Williamson, FNP
• Jayci Willis
• Larry Al Wilson, PH.D.
• Lisa Suzzane Woods, OTR
• Brian Zandarski, LPTA

• Family Nurse Practitioner in Orange, TX
• Providers in Orange, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.