NICHOLAS RYAN GLAZE (NPI# 1255767513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255767513 |
| Entity Type | Individual |
| Full Name | NICHOLAS RYAN GLAZE |
| Credential | NP |
| Practice Address |
345 N Highway 67 Cedar Hill TX 75104-2134 |
| Mailing Address |
Po Box 9101 Coppell TX 75019-9494 |
| Practice Telephone | 9729565300 |
| Mailing Telephone | 9729068124 |
| Mailing Fax Number | 9727454376 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2014-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 784995 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP124430 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS BNE | AP124430 | 01 |
| TX | TEXAS BNE | 784995 | 01 |
| Street Address |
345 N HIGHWAY 67 |
| City | CEDAR HILL |
| State | TX |
| Zip Code | 75104-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720052699 | Donna Arlene Shannon | Family Medicine | 345 N Highway 67, Cedar Hill, TX 75104-2134 | 2006-02-15 |
| 1083128995 | Mira Patel | Physician Assistant | 345 N Highway 67, Cedar Hill, TX 75104-2134 | 2017-11-30 |
| 1174877575 | Emily Haynie | Physician Assistant | 345 N Highway 67, Cedar Hill, TX 75104-2134 | 2012-11-07 |
| 1801104526 | Yolanda Bennett | Nurse Practitioner | 345 N Highway 67, Cedar Hill, TX 75104-2134 | 2010-09-15 |
| 1487971719 | Nathan Vietnam Nguyen | Family Medicine | 345 N Highway 67, Cedar Hill, TX 75104-2134 | 2010-04-26 |
| 1841362944 | Christy Pinkham | Family Medicine | 345 N Highway 67, Cedar Hill, TX 75104-2134 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647613 | Maurice Leung | Optometrist | 305 W. Fm1382 Bldg 500, Suite 500, Cedar Hill, TX 75104 | 2020-07-30 |
| 1073156055 | Collier Family Dnetistry Pllc | Dentist | 918 E Pleasant Run Rd, Ste 120, Cedar Hill, TX 75104 | 2019-10-23 |
| 1760038061 | Shawn Brandon Fitzpatrick | Optometrist | 500, 305 E Farm To Market Rd., 1382 #500, Cedar Hill, TX 75104 | 2019-08-13 |
| 1487120093 | Daniel Max & Marcandrea, LLC | Optometrist | 401 J Elmer Weaver Fwy, Cedar Hill, TX 75104 | 2018-10-22 |
| 1386153567 | Professional Np Cares Inc | Family Medicine | 1438 Oxbow Dr., Cedar Hill, TX 75104 | 2017-09-20 |
| 1295273688 | Ikids Pediatric Dentistry Cedar Hill, Pllc | Dentist | 520 W. Fm 1382, Cedar Hill, TX 75104 | 2017-02-06 |
| 1598178568 | Meredith Lee Orseth | Dermatology | 610 Uptown Blvd Ste 102, Cedar Hill, TX 75104 | 2014-06-08 |
| 1295160943 | Cedar Hill Medical Center LLC | Clinic/Center | 850 Hwy 67 N, Cedar Hill, TX 75104 | 2013-09-12 |
| 1447699202 | Tammy Audrenia Clay | Registered Nurse | 1336 Boyd Street, Cedar Hill, TX 75104 | 2013-06-14 |
| 1205172020 | Felistar Ogechi Awhen | Licensed Vocational Nurse | 1277 Cedarhill, Cedarhill, TX 75104 | 2012-12-26 |
| Find all providers in zip 75104 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942841887 | John Olanrewaju Olaleye | Nurse Practitioner | 412 Payne St, Cedar Hill, TX 75104-8124 | 2019-10-02 |
| 1689140931 | Kathryn Ann Franklin | Nurse Practitioner | 1226 Paul Dr, Cedar Hill, TX 75104-6216 | 2018-10-14 |
| 1235630724 | Jane Ijeoma Amadi | Nurse Practitioner | 1204 Bentgrass Cir, Cedar Hill, TX 75104-6904 | 2018-02-21 |
| 1063802072 | Callista Chika Ejim | Nurse Practitioner | 1942 Mount Mckinley Pl, Cedar Hill, TX 75104-1033 | 2015-01-28 |
| 1003331687 | Erane Willis | Nurse Practitioner | 385 E Belt Line Rd, Cedar Hill, TX 75104-2206 | 2017-08-04 |
| 1306391297 | Anolynn Loudermilk | Nurse Practitioner | 294 Uptown Blvd Ste 120, Cedar Hill, TX 75104-3537 | 2016-08-20 |
| 1902250525 | Brittany Hafer | Nurse Practitioner | 210 S Broad St, Cedar Hill, TX 75104-2664 | 2016-04-20 |
| 1194181511 | Tamanika Marshall | Nurse Practitioner | 385 E Belt Line Rd, Cedar Hill, TX 75104-2206 | 2016-01-14 |
| 1639542731 | Jophy L. Padayatti | Nurse Practitioner | 385 E Belt Line Rd, Cedar Hill, TX 75104-2206 | 2015-11-11 |
| 1164811964 | All Care Health Clinics LLC | Nurse Practitioner | 103 E Belt Line Rd, Ste. G, Cedar Hill, TX 75104-2274 | 2015-01-16 |
| Find all providers in CEDAR HILL | ||||
| City | CEDAR HILL |
| Zip Code | 75104 |
Please comment or provide details below to improve the information on NICHOLAS RYAN GLAZE.
| 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.