DR. ALICIA WILSON GLENN (NPI# 1114559283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114559283 |
| Entity Type | Individual |
| Full Name | DR. ALICIA WILSON GLENN |
| Credential | DNP, AGPCNP-BC |
| Practice Address |
1575 John Knox Dr Colfax NC 27235-9662 |
| Mailing Address |
3019 Gray Farm Rd Indian Trail NC 28079-8490 |
| Practice Telephone | 7046681271 |
| Mailing Telephone | 7046681271 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
5013383 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245411396 | Alicia Glenn | Counselor | 700 S Penn Ave, Bartlesville, OK 74003-3847 | 2007-11-16 |
| Street Address |
1575 JOHN KNOX DR |
| City | COLFAX |
| State | NC |
| Zip Code | 27235-9662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518968890 | Presbyterian Homes Inc | Skilled Nursing Facility | 1575 John Knox Dr, Colfax, NC 27235-9662 | 2005-08-09 |
| 1043852684 | Ashley Samantha Kizzie | Occupational Therapist | 1575 John Knox Dr, Colfax, NC 27235-9662 | 2019-10-15 |
| 1043765746 | Amanda Arbaugh | Occupational Therapist | 1575 John Knox Dr, Colfax, NC 27235-9662 | 2016-08-23 |
| 1609321512 | Luis Alberto Sanchez | Physical Therapy Assistant | 1575 John Knox Dr, Colfax, NC 27235-9662 | 2016-08-20 |
| 1740656214 | Breanne Sonntag | Occupational Therapist | 1575 John Knox Dr, Colfax, NC 27235-9662 | 2015-08-19 |
| 1760871677 | Tasha M. Brenenstuhl | Speech-Language Pathologist | 1575 John Knox Dr, Colfax, NC 27235-9662 | 2015-01-15 |
| 1215254693 | Sherri L Axtell | Speech-Language Pathologist | 1575 John Knox Dr, Colfax, NC 27235-9662 | 2010-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487779518 | Cheryl K Hardison | Dentist | I 40 and Sandy Ridge Rd, Colfax, NC 27235 | 2007-03-20 |
| 1194840215 | Ward S. Lambeth | Dentist | I-40 and Sandy Ridge Rd, Colfax, NC 27235 | 2007-03-20 |
| 1619092731 | Robert W Mcfayden Jr. | Dentist | I - 40 and Sandy Ridge Rd, Colfax, NC 27235 | 2007-03-20 |
| 1932596376 | Jennifer Boney | Registered Nurse | 4204 Ballard Farm Rd, Colfax, NC 27235-8709 | 2015-04-23 |
| 1629601364 | Maddie Henrish | Nurse Practitioner | 1212 Carriage House Dr, Colfax, NC 27235-9420 | 2020-02-21 |
| 1952840258 | Alison Beth Gueriera | Speech-Language Pathologist | 4909 Legacy Dr, Colfax, NC 27235-9437 | 2017-02-20 |
| 1336681899 | Laura Boozer | Speech-Language Pathologist | 3391 Fallswood Ct, Colfax, NC 27235-9505 | 2016-11-14 |
| 1326669722 | Heather Smith | Physical Therapist | 8257 Ballard Rd, Colfax, NC 27235-9710 | 2020-04-27 |
| 1043385222 | Whitney Roberts Gansman | Physical Therapist | 8861 Boylston Rd, Colfax, NC 27235-9735 | 2006-11-22 |
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334647 | Kennitrish Nickola Bracey | Nurse Practitioner | 5124 Red Poll Dr, Greensboro, NC 27405-9794 | 2020-10-17 |
| 1255947974 | Alice Lorraine Fagan | Nurse Practitioner | 2130 Highland View Ln, Charlotte, NC 28214-9425 | 2020-09-17 |
| 1689286270 | Meylien Delgado Lee | Nurse Practitioner | 510 S Spruce St, Wilkesboro, NC 28697-2846 | 2020-08-17 |
| 1124638317 | Jakita Strong | Nurse Practitioner | 1506 Ladora Dr, Charlotte, NC 28262-6414 | 2020-08-03 |
| 1689284820 | Corrie Hansen | Nurse Practitioner | 1700 Tarboro St W Ste 100, Wilson, NC 27893-3481 | 2020-08-03 |
| 1609490382 | Brooke Martin Shaw | Nurse Practitioner | 5514, 350 N Cox St, Ste 6, Asheboro, NC 27203 | 2020-05-29 |
| 1467075440 | Lydia A. Teague | Nurse Practitioner | 120 N Medical Drive Unc-ch Son: Carrington Hall Chapel, Chapel Hill, NC 27599-0001 | 2020-05-25 |
| 1689209710 | Ana Rita Frey | Nurse Practitioner | 601 E 5th St Ste 140, Charlotte, NC 28202-3092 | 2020-03-09 |
| 1578109427 | Mia Licole Saulter | Nurse Practitioner | 3961 Stafford Run Ct, High Point, NC 27265-9480 | 2019-11-25 |
| 1801430715 | Erica Nicole Ebohon | Nurse Practitioner | 3803 Arundel Ct, Greensboro, NC 27406-9832 | 2019-11-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.