SUSAN RENA GLASS (NPI# 1639219546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639219546 |
| Entity Type | Individual |
| Full Name | SUSAN RENA GLASS |
| Credential | NP |
| Practice Address |
2029 Valleygate Dr Suite 101 Fayetteville NC 28304-3688 |
| Practice Telephone | 9103232103 |
| Practice Fax Number | 9103232219 |
| Mailing Telephone | 9103232103 |
| Mailing Fax Number | 9103232219 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
200863 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285127233 | Susan Lynn Glass | Psychologist | 115 Mckinley Dr, Columbia, TN 38401-5917 | 2018-06-13 |
| 1174618979 | Susan Kimberly Glass | Registered Nurse | 4815 N. Assembly Street, Spokane, WA 99205-6194 | 2006-10-04 |
| 1861924607 | Susan Merrill Glass | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne # Oc.7830, Seattle, WA 98105-3901 | 2017-03-31 |
| 1164787776 | Susan Kay Glass | Licensed Practical Nurse | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2012-07-10 |
| 1861767063 | Susan Hunter Glass | Hospitalist | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2012-03-20 |
| Street Address |
2029 VALLEYGATE DR SUITE 101 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336189505 | Myron Scott Strickland | Obstetrics & Gynecology | 2029 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3688 | 2006-06-07 |
| 1437636826 | Melinda Elizabeth Cunningham | Dentist | 2029 Valleygate Dr, Fayetteville, NC 28304 | 2018-07-27 |
| 1811376981 | Margaret Ann Floor | Dentist | 2029 Valleygate Dr, Suite 201, Fayetteville, NC 28304-3771 | 2015-05-22 |
| 1831593599 | Kushan Patel | Dentist | 2029 Valleygate Dr, Ste 201, Fayetteville, NC 28304-3771 | 2014-10-09 |
| 1508124181 | Herbert A King | Dentist | 2029 Valleygate Dr, Suite 201, Fayetteville, NC 28304-3771 | 2012-05-02 |
| 1801166145 | Knowles, Smith and Associates, LLP | Dentist | 2029 Valleygate Dr, Suite 202, Fayetteville, NC 28304-3771 | 2012-01-04 |
| 1457649766 | Brittany Brooks | Dental Hygienist | 2029 Valleygate Dr, Fayetteville, NC 28304-3771 | 2011-07-20 |
| 1669793873 | Andrea Jacobs | Dentist | 2029 Valleygate Dr, Ste 201, Fayetteville, NC 28304-3688 | 2010-06-22 |
| 1548496490 | Mit Bakulesh Patel | Dentist | 2029 Valleygate Dr, Suite 201, Fayetteville, NC 28304-3771 | 2009-06-05 |
| 1457505869 | Nathan Abramson | Dentist | 2029 Valleygate Dr, Suite 291, Fayetteville, NC 28304-3771 | 2008-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619189784 | Pamela T. Puett | Nurse Practitioner | 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 | 2007-05-03 |
| 1699879239 | Bertha Lee Hendrix | Nurse Practitioner | 227 Fountainhead Ln, Fayetteville, NC 28301-5417 | 2006-09-12 |
| 1477191211 | Cara Marie Haire | Nurse Practitioner | 413 Owen Dr, Fayetteville, NC 28304-3489 | 2019-12-11 |
| 1265689954 | Portia Mason Cole | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2008-08-25 |
| 1871788075 | Angela Mclaurin | Nurse Practitioner | 1261 Oliver St, Fayetteville, NC 28304-4450 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386856649 | Victoria L Kell | Nurse Practitioner | 247 Memorial Dr, Jacksonville, NC 28546-6333 | 2007-05-07 |
| 1376610022 | Deborah Shamberger Barrett | Nurse Practitioner | 705 Pinehurst Ave, Moore County Health Department, Carthage, NC 28327-0279 | 2006-11-29 |
| 1922106426 | Wanda A Fuschino | Nurse Practitioner | 349 Penny Ln Ne, Concord, NC 28025-1221 | 2006-09-20 |
| 1679508253 | Angela M Walling | Nurse Practitioner | 3 Regional Cir Ste B, Pinehurst, NC 28374-9796 | 2006-07-11 |
| 1467415752 | Paula Thum | Nurse Practitioner | 1998 Hendersonville Rd, Suite 31, Asheville, NC 28803-2349 | 2006-04-08 |
| 1932169612 | Mary Coffey Blalock | Nurse Practitioner | 177 New Vale Rd, Office of E.h. Perez, Md, Newland, NC 28657-9198 | 2006-03-25 |
| 1336144518 | Victoria Edwards Smith | Nurse Practitioner | 25 Courthouse Dr. Ne, Box 9, Bolivia, NC 28422-7582 | 2005-06-15 |
| 1790788024 | Donna White Bass | Nurse Practitioner | 4005 Oleander Dr, Wilmington, NC 28403-6816 | 2005-05-31 |
| 1003431404 | Rhonda Mann Lovvorn | Nurse Practitioner | 700 Tilghman Dr, Dunn, NC 28334-0007 | 2020-06-11 |
| 1568926509 | Alison O'quinn | Nurse Practitioner | 1110 Se Cary Pkwy Ste 100, Cary, NC 27518-7420 | 2019-01-23 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on SUSAN RENA GLASS.
| 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.