Glenna Bargo, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3008393 Issued in KY

Practice address

728 S US Highway 25E Loop Number 2
Loop Number 2
Barbourville, KY 40906

Phone

(606) 545-0209

Fax

(606) 545-0289

NPI assigned

Dec 30, 2013

Last updated

Jan 3, 2014By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1891116455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409060337",
            "telephone_number": "606-545-0209",
            "fax_number": "606-545-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 S US HIGHWAY 25E LOOP NUMBER 2",
            "address_2": "LOOP NUMBER 2",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "40906",
            "telephone_number": "606-545-0209",
            "fax_number": "606-545-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGO",
        "first_name": "GLENNA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-30",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbourville Family Dental Inc
• Barbourville Family Health Center (Access Family Health Center)
• Barbourville Family Health Center
• Barbourville Nursing Home, Inc. (Barbourville Nursing Home)
• Barbourville Prescription Center, LLC (Barbourville Prescription Center)
• Kayla Larae Bargo, APRN
• Rachel Bargo, APRN
• Nikki Lane Barker
• Daniel G Bercu, DO
• Bingham Behavioral Health Care, PLLC

• Family Nurse Practitioner in Barbourville, KY
• Providers in Barbourville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.