Active NPI
Candace S Glazier, CRNA
- Certified Registered Nurse Anesthetist
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 681510
- Practice address
- 400 W 16TH St
Pueblo, CO 81003-2745 - Phone
- (707) 256-9085
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 681510 | TX | Primary |
Addresses
Primary practice location
400 W 16TH St
Pueblo, CO 81003-2745
Mailing address
3715 Canfield St Apt 201
Boulder, CO 80301-3189
Phone (707) 256-9085
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN3654610 | Medicaid | CA | |
| 86886U | Other | TX | BCBS OF TEXAS |
| 149531902 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2760 29TH St
Suite 1C
Boulder, CO 80301-1214
34827 Rowlock PL
Millsboro, DE 19966-6180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodhi Infusion Center, LLC | Current | Accepting new patients | |
| Boulder Valley Gastroenterology Inc. | Current | Accepting new patients | |
| North Denver Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Boulder Valley Gastroenterology Inc. | Current | Accepting new patients | |
| Centers for Gastroenterology | Current | Accepting new patients | |
| St. Helena Hospital | Past | Accepting new patients | |
| St. Helena Hospital | Past | Accepting new patients | |
| Macatawa Anesthesia PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Adventist Health Clearlake Hospital Inc. | Past | Accepting new patients |
Locations
1755 48th St
Ste 100
Boulder, CO 80301
Phone (720) 932-7714
2760 29th St
Ste 1C
Boulder, CO 80301
Phone (303) 915-1698
1755 48th St
Boulder, CO 80301
Phone (303) 494-5263
3702 S Timberline Rd
Ste A
Fort Collins, CO 80525
Phone (970) 207-9773
1000 W South Boulder Rd
Ste 200
Lafayette, CO 80026
Phone (303) 604-4664
13952 Denver West Pkwy
Lakewood, CO 80401
Phone (303) 271-1112
382 S Arthur Ave
Louisville, CO 80027
2555 E 13th St
Ste 220
Loveland, CO 80537
Phone (970) 669-5432
Organizations & group practices 9
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.
-
- Infusion Therapy Clinic/Center
- Boulder, CO
- NPI 1104698349
-
dba Gastroenterology of the Rockies
- Gastroenterology Physician
- Lafayette, CO
- NPI 1902832603
-
- Gastroenterology Physician
- Fort Collins, CO
- NPI 1801994157
-
- Certified Registered Nurse Anesthetist
- Boulder, CO
- NPI 1902624422
Nurse Anesthetist, Certified Registered
-
dba Gastroenterology of the Rockies
- Gastroenterology Physician
- Northglenn, CO
- NPI 1043806276
-
dba Adventist Health Clear Lake
- Critical Access Hospital
- Clearlake, CA
- NPI 1124018031
-
- Anesthesiology Physician
- Holland, MI
- NPI 1942242136
Nurse Anesthetist, Certified Registered
-
dba Adventist Health St. Helena
- General Acute Care Hospital
- Saint Helena, CA
- NPI 1720078082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1902825227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3715 CANFIELD ST APT 201",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013189",
"telephone_number": "707-256-9085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 16TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032745",
"telephone_number": "707-256-9085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAZIER",
"first_name": "CANDACE",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2023-08-21",
"certification_date": "2023-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "681510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN3654610",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "86886U",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149531902",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.