Shelby Olivia Glenn, MPH, BSN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.1691640 Issued in CO

Practice address

1675 Garden of the Gods Rd Ste 2044
Colorado Springs, CO 80907-9444

Phone

(719) 578-3199

Fax

(719) 578-3114

NPI assigned

Oct 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelby Mann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

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.

• El Paso County Public Health

  • Public Health or Welfare Agency
  • Colorado Springs, CO
  • NPI 1144388182
  NPD (past)

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1962223776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 GARDEN OF THE GODS RD STE 2044",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809079444",
            "telephone_number": "719-578-3199",
            "fax_number": "719-578-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 GARDEN OF THE GODS RD STE 2044",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809079444",
            "telephone_number": "719-578-3199",
            "fax_number": "719-578-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "SHELBY",
        "middle_name": "OLIVIA",
        "credential": "MPH, BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1691640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "MANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea Sara Glen, MS, CCC-SLP
• Gleneagle Vision Center, P.C.
• Autumn Whitney Glenn, PA-C
• Jeffrey E Glenn
• Julie A Glenn, PTA
• William Hall Glenn Jr., LCSW
• Oceana Marie Glidewell-Woods
• Robert Neil Glidewell, PSYD
• Glimmer of Hope Home Health Care LLP
• Stacey Lynn Gliniewicz, MBA

• Registered Nurse in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.