Active NPI
Angela M Glyder, RN
- Case Management Registered Nurse
- Fort Worth, TX
National Provider Identifier
1932800141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 80951
- Practice address
- 6100 Harris Pkwy
Fort Worth, TX 76132-4101 - Phone
- (817) 776-4722
- NPI assigned
- Mar 14, 2023
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Case Management Registered Nurse | 163WC0400X | 80951 | SC | Primary |
Addresses
Primary practice location
6100 Harris Pkwy
Fort Worth, TX 76132-4101
Mailing address
5457 Maybank Hwy
Wadmalaw Island, SC 29487-7042
Phone (843) 714-5094
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
| License | State | Type | Specialty |
|---|---|---|---|
| 80951 | SC | MD | Case Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucina Analytics, LP | Current | Accepting new patients |
Locations
6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000
Organizations & group practices 1
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.
-
- Case Management Agency
- Fort Worth, TX
- NPI 1245932078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1932800141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5457 MAYBANK HWY",
"city": "WADMALAW ISLAND",
"state": "SC",
"postal_code": "294877042",
"telephone_number": "843-714-5094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 HARRIS PKWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761324101",
"telephone_number": "817-776-4722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLYDER",
"first_name": "ANGELA",
"middle_name": "M",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-14",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "SC",
"license": "80951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.