Active NPI
Barbara Marie McGlennen, GNP
- Gerontology Nurse Practitioner
- Robbinsdale, MN
National Provider Identifier
1962430694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- R0761352
- Practice address
- 3366 Oakdale Ave N
Suite 315
Robbinsdale, MN 55422-2948 - Phone
- (763) 587-7900
- Fax
- (763) 587-7989
- NPI assigned
- Jun 29, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R0761352 | MN | |
| Gerontology Nurse Practitioner | 363LG0600X | R0761352 | MN | Primary |
Addresses
Primary practice location
3366 Oakdale Ave N
Suite 315
Robbinsdale, MN 55422-2948
Mailing address
3366 Oakdale Ave N
Suite 315
Robbinsdale, MN 55422-2948
Phone (763) 587-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 624727000 | Medicaid | MN |
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
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Clinic, PA | Past | Accepting new patients |
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.
-
dba Voyage Healthcare
- Multi-Specialty Clinic/Center
- Brooklyn Park, MN
- NPI 1407011760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339977600000",
"number": "1962430694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3366 OAKDALE AVE N",
"address_2": "SUITE 315",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554222948",
"telephone_number": "763-587-7900",
"fax_number": "763-587-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3366 OAKDALE AVE N",
"address_2": "SUITE 315",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554222948",
"telephone_number": "763-587-7900",
"fax_number": "763-587-7989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGLENNEN",
"first_name": "BARBARA",
"middle_name": "MARIE",
"credential": "GNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2012-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R0761352",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MN",
"license": "R0761352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "624727000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Robbinsdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.