NPIMap

Individual provider Active NPI

Glenda Rose Houghton, MSN APRN A-GNP-C

  • Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1871051771
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11001726 Issued in FL
Practice address
2605 Sunningdale Dr
Kissimmee, FL 34746-3185
Phone
(678) 925-4276
NPI assigned
Mar 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11001726 FL Primary

Addresses

Primary practice location

2605 Sunningdale Dr
Kissimmee, FL 34746-3185

Mailing address

2605 Sunningdale Dr
Kissimmee, FL 34746-3185
Phone (678) 925-4276

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GLENDA.HOUGHTON@hca4.eclinicaldirectplus.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200410001520 FL Practitioner - Nurse Practitioner 4183053226 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nautilus Health Care Group LLCGroup PAC ID 5991604852, 51 clinicians

Practice addresses (Care Compare)

2912 17TH St
Saint Cloud, FL 34769-6010
Phone (407) 892-2388

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
WT Health of Florida LLC CurrentSince Mar 13, 2025 Accepting new patients
Nautilus Health Care Group, LLC CurrentSince Mar 17, 2025 Accepting new patients
Nautilus Health Care Group LLC Nurse Practitioner CurrentSince Mar 17, 2025 Accepting new patients
Houghton Health Associates, LLC Nurse Practitioner CurrentSince May 16, 2022 Accepting new patients
Wound Technology Network Inc CurrentSince Jun 13, 2022 Accepting new patients
Advanced Wound Systems LLC Past Accepting new patients

Locations

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702

2912 17th St
Saint Cloud, FL 34769
Phone (407) 892-2388

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1871051771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 SUNNINGDALE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463185",
            "telephone_number": "678-925-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 SUNNINGDALE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463185",
            "telephone_number": "678-925-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGHTON",
        "first_name": "GLENDA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "MSN APRN A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-09",
        "last_updated": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11001726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GLENDA.HOUGHTON@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2605 Sunningdale Dr",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347463185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.