Kristin Marie Glass, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

163797-30 Issued in WI

Practice address

10851 Macarthur Dr
Marshfield, WI 54449-9795

Phone

(715) 316-3237

NPI assigned

Aug 31, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Kristin Marie Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1952883449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10851 MACARTHUR DR",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544499795",
            "telephone_number": "715-316-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10851 MACARTHUR DR",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544499795",
            "telephone_number": "715-316-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASS",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "163797-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "MILLER",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristine L. Gilkerson, NP
• Tanveen Kaur Gill, MD
• Amanda K Gilmeister, NP
• Preeti Arora Girotra, M.B.B.S.
• Elizabeth A Gisvold, RN
• Brady R Glidden, PA-C
• Dennis E Godar, DMD
• Elizabeth Godwin, CRNA
• Katherine Goebel, OTR/L
• Swecha Goel, MD

• Registered Nurse in Marshfield, WI
• Providers in Marshfield, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.