Renae Glass, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

1164 Issued in ND

Practice address

1655 N Grandview LN Ste 204
Bismarck, ND 58503-0877

Phone

(701) 751-2020

Fax

(701) 223-2207

NPI assigned

Jan 9, 2012

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 9, 2012.

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1881964781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 N GRANDVIEW LN STE 204",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030877",
            "telephone_number": "701-751-2020",
            "fax_number": "701-223-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N GRANDVIEW LN STE 204",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030877",
            "telephone_number": "701-751-2020",
            "fax_number": "701-223-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "RENAE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ND",
            "license": "1164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura M Gitter, LSW
• Gloria Glasgow
• Fae M Glass, FNP
• Heather Glass
• Jacob Glass, DPT
• Courtney Glasser
• Renae Glatt
• Andrea Gleason
• Allison Gleich
• Glorious Homecare LLC

• All providers in Bismarck, ND
• Massage Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.