James Danil Glenn, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

098007052CRNA Issued in OR

Practice address

930 SW 9TH Avenue
Albany, OR 97321

Phone

(541) 926-9611

Fax

(541) 926-6152

NPI assigned

Jul 18, 2006

Last updated

Jun 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1871512244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301558",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031558",
            "telephone_number": "866-847-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SW 9TH AVENUE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "97321",
            "telephone_number": "541-926-9611",
            "fax_number": "541-926-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "JAMES",
        "middle_name": "DANIL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "098007052CRNA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213482",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Giles, BS, PSYCHOLOGY
• Shane Matthew Gjesdal, MD
• Susana Maria Glade
• Tressa Glaser, LMT
• Illya Glazunov, DC
• Gary A. Goby, M.D.
• Brent W Godek, M.D.
• Paula J Godfrey, D.O.
• Christopher Goeke
• Gregory Dietrich Goessman, DDS

• Certified Registered Nurse Anesthetist in Albany, OR
• Providers in Albany, OR by specialty
• Certified Registered Nurse Anesthetist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.