Individual provider Active NPI

Amber L Glukhenkiy, MSN, RN, ACCNS-AG

  • Critical Care Medicine Registered Nurse
  • Galveston, TX
National Provider Identifier
1962198663
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
1069869 Issued in TX
Practice address
301 University Blvd # 9.608
Galveston, TX 77555-0100
Phone
(916) 879-6510
NPI assigned
Apr 14, 2023
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 1069869 TX Primary

Addresses

Primary practice location

301 University Blvd # 9.608
Galveston, TX 77555-0100

Mailing address

10104 Discovery LN
Texas City, TX 77591-1560
Phone (916) 879-6510

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1069869TXMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1962198663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10104 DISCOVERY LN",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775911560",
            "telephone_number": "916-879-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD # 9.608",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550100",
            "telephone_number": "916-879-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLUKHENKIY",
        "first_name": "AMBER",
        "middle_name": "L",
        "credential": "MSN, RN, ACCNS-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "1069869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.