Active NPI
Glenda A Gobelman, APN
- Nurse Practitioner
- Reno, NV
National Provider Identifier
1952337420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN00162
- Practice address
- 6536 S McCarran Blvd
Reno, NV 89509-6168 - Phone
- (775) 982-8255
- Fax
- (775) 982-8251
- NPI assigned
- Jun 24, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN13894 | NV | |
| Nurse Practitioner | 363L00000X | APRN00162 | NV | Primary |
Addresses
Primary practice location
6536 S McCarran Blvd
Reno, NV 89509-6168
Mailing address
850 Harvard Way
Reno, NV 89502-2055
Phone (775) 982-5262
Other practice location 1
910 Vista Blvd
Sparks, NV 89434-6501
Phone (775) 982-5000
Other practice location 2
910 Vista Blvd
Sparks, NV 89434-6501
Phone (775) 982-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11832689 | Other | CAQH | |
| 1952337420 | Medicaid | NV |
Other names 1
- Glenda Julianne Anderson
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
- Nurse Practitioner
Interoperability endpoints
- ggobelman1390@direct.renown.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1952337420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 HARVARD WAY",
"city": "RENO",
"state": "NV",
"postal_code": "895022055",
"telephone_number": "775-982-5262",
"fax_number": "775-982-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6536 S MCCARRAN BLVD",
"city": "RENO",
"state": "NV",
"postal_code": "895096168",
"telephone_number": "775-982-8255",
"fax_number": "775-982-8251"
}
],
"practiceLocations": [
{
"address_1": "910 Vista Blvd",
"address_purpose": "LOCATION",
"city": "Sparks",
"state": "NV",
"postal_code": "894346501",
"country_code": "US",
"telephone_number": "775-982-5000",
"fax_number": "775-982-4585",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "910 Vista Blvd",
"address_purpose": "LOCATION",
"city": "Sparks",
"state": "NV",
"postal_code": "894346501",
"country_code": "US",
"telephone_number": "775-982-5000",
"fax_number": "775-982-4585",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOBELMAN",
"first_name": "GLENDA",
"middle_name": "A",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN13894",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APRN00162",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11832689",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1952337420",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GLENDA",
"last_name": "ANDERSON",
"middle_name": "JULIANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.