Individual provider Active NPI

Elsie Enyonam Glasu-Atunuwa, RN

  • Registered Nurse
  • Jamaica, NY
National Provider Identifier
1902240369
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
655909 Issued in NY
Practice address
10717 170TH St
Jamaica, NY 11433-2408
Phone
(516) 225-3625
NPI assigned
Apr 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 883777 TX
Registered Nurse 163W00000X 655909 NY Primary

Addresses

Primary practice location

10717 170TH St
Jamaica, NY 11433-2408

Mailing address

9114 Highland Star
San Antonio, TX 78254-4603
Phone (516) 225-3625

Other names 1

  • Enyonam Elsie Glasu Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL LOVEELSIEG@GMAOL.COM Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
655909NYMDRegistered Nurse
883777TXMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1902240369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 HIGHLAND STAR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782544603",
            "telephone_number": "516-225-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10717 170TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114332408",
            "telephone_number": "516-225-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASU-ATUNUWA",
        "first_name": "ELSIE",
        "middle_name": "ENYONAM",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "883777",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "655909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "LOVEELSIEG@GMAOL.COM",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9114 Highland Star",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782544603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ENYONAM",
            "last_name": "GLASU",
            "middle_name": "ELSIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.