Active NPI
Kathleen Glass, MS, CRNA
- Certified Registered Nurse Anesthetist
- Millburn, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN9479375
- Practice address
- 187 Millburn Ave
Millburn, NJ 07041-1847 - Phone
- (973) 467-1466
- Fax
- (973) 467-1422
- NPI assigned
- Oct 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NR12327000 | NJ | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN9479375 | FL | Primary |
Addresses
Primary practice location
187 Millburn Ave
Millburn, NJ 07041-1847
Mailing address
40 Blazier Rd
Warren, NJ 07059-6929
Phone (732) 560-3890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9479375 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology Services of Florida, Inc. | Current | Accepting new patients | |
| Galloway Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Moonlight Anesthesia, P.L. | Current | Accepting new patients | |
| Anesthesia Services Plus Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Galloway Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
6241 Arc Way
Ste B
Fort Myers, FL 33966
Phone (239) 278-9955
7152 Coca Sabal Ln
Fort Myers, FL 33908
Phone (239) 939-9939
5238 Mason Corbin Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 489-3166
7600 SW 87th Ave
Ste 100
Miami, FL 33173
Phone (786) 235-3750
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Melville, NY
- NPI 1508318387
FL
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1205230703
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Miami, FL
- NPI 1689989139
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Myers, FL
- NPI 1033419791
-
- Certified Registered Nurse Anesthetist
- Palm Beach Gardens, FL
- NPI 1316626450
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1932297876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 BLAZIER RD",
"city": "WARREN",
"state": "NJ",
"postal_code": "070596929",
"telephone_number": "732-560-3890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 MILLBURN AVE",
"city": "MILLBURN",
"state": "NJ",
"postal_code": "070411847",
"telephone_number": "973-467-1466",
"fax_number": "973-467-1422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "MS, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NR12327000",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN9479375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millburn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.