Active NPI
Nikki Gladney
- Counselor
- Durham, NC
National Provider Identifier
1982937447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MHL-032-497
- Practice address
- 3704 Four Seasons Drive
Durham, NC 27707-4724 - Phone
- (919) 294-8487
- NPI assigned
- Sep 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | MHL-032-497 | NC | Primary |
| Social Worker | 104100000X | MHL-032-497 | NC |
Addresses
Primary practice location
3704 Four Seasons Drive
Durham, NC 27707-4724
Mailing address
3704 Four Seasons Dr
Durham, NC 27707-4724
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHL-032-497 | NC | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Striving for Excellence Group Home | 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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Durham, NC
- NPI 1235453366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252972800000",
"number": "1982937447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3704 FOUR SEASONS DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277074724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3704 FOUR SEASONS DRIVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277074724",
"telephone_number": "919-294-8487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADNEY",
"first_name": "NIKKI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-15",
"last_updated": "2009-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "MHL-032-497",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "MHL-032-497",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.