Active NPI
Debra Lynn Glass, CNM
- Advanced Practice Midwife
- Waldorf, MD
National Provider Identifier
1932181393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- R201736
- Practice address
- 3500 Old Washington Rd
Suite302
Waldorf, MD 20602-3224 - Phone
- (301) 645-8867
- Fax
- (301) 645-2330
- NPI assigned
- Nov 18, 2005
- Last updated
- Nov 21, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | R201736 | MD | Primary |
Addresses
Primary practice location
3500 Old Washington Rd
Suite302
Waldorf, MD 20602-3224
Mailing address
23295 Lakeview Dr
California, MD 20619-4206
Phone (817) 366-8817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8L6698 | Other | TX | MEDICARE PTAN |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Maryland Women's Healthcare, PA | Current | Accepting new patients | |
| Emmar Physicians, P.a. | Past | Accepting new patients | |
| Medstar Medical Group II LLC | Past | Accepting new patients |
Locations
41680 Miss Bessie Dr
Ste 102
Leonardtown, MD 20650
Phone (301) 997-1788
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400078
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Voluntary or Charitable Agency
- Round Rock, TX
- NPI 1316175151
-
- Obstetrics & Gynecology Physician
- Leonardtown, MD
- NPI 1619168838
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384992000000",
"number": "1932181393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23295 LAKEVIEW DR",
"city": "CALIFORNIA",
"state": "MD",
"postal_code": "206194206",
"telephone_number": "817-366-8817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 OLD WASHINGTON RD",
"address_2": "SUITE302",
"city": "WALDORF",
"state": "MD",
"postal_code": "206023224",
"telephone_number": "301-645-8867",
"fax_number": "301-645-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "DEBRA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2013-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MD",
"license": "R201736",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "8L6698",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.