ANITA GLENN-RELLER (NPI# 1679676571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679676571 |
Entity Type | Individual |
Full Name | ANITA GLENN-RELLER |
Practice Address |
317 Lightning Ave Luke Afb AZ 85309 |
Mailing Address |
13327 N 152nd Ave Surprise AZ 85379-9119 |
Practice Telephone | 6238568754 |
Enumeration Date | 2006-09-06 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
2817 | OR | Behavioral Health & Social Service Providers |
Street Address |
317 LIGHTNING AVE |
City | LUKE AFB |
State | AZ |
Zip Code | 85309 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912466111 | Natalie Ann Korona | Nurse Practitioner | 56 Mdg/mdos/sgof, 7219 N. Litchfield Rd, Luke Afb, AZ 85309 | 2019-03-18 |
1558647024 | Cheng Chung Tsai | Pharmacist | 72 19 N Litchfield Road, 56 Medical Group, Luke Afb, AZ 85309 | 2011-10-28 |
1053617464 | Bradley William Snyder | Military Health Care Provider | 7224 North 139th Avenue, Glendale, AZ 85309 | 2011-02-02 |
1043516610 | Charles Delvon Pickett | Military Health Care Provider | 7019 N Litchfield Ave, Luke Afb, 56/amds, Luke Afb, AZ 85309 | 2011-01-31 |
1104980663 | Maurice Edgar Young | Obstetrics & Gynecology | 56th Aerospace Medicine Squadron, Luke Afb, AZ 85309 | 2006-12-20 |
1679658538 | Wayne Allen Beaver | Psychologist | Luke Air Force Base, Bldg 317, Glendale, AZ 85309 | 2006-10-26 |
1306945472 | 56th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Bldg 810, Luke Afb, AZ 85309 | 2006-09-22 |
1720402993 | Samuel Beck | Pediatrics | 7219 N Litchfield Rd, Luke Afb, AZ 85309 | 2014-02-09 |
1902162258 | Joshua Lemoyne Pringle | Surgery | 7219 N Litchfield Rd, Luke Afb, AZ 85309 | 2012-04-11 |
1285890483 | Phillip Karsen | Physician Assistant | 7219 N Litchfield Rd, Glendal, AZ 85309 | 2008-08-06 |
Find all providers in zip 85309 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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1508467200 | Monique M Gomez | Counselor | 3923 S Willow Dr, Tempe, AZ 85282-5761 | 2020-11-08 |
1154922615 | Gift of Hearts Home LLC | Counselor | 4547 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-11-02 |
1952901332 | Jennifer Barreras | Counselor | 1818 E Burgess Ln, Phoenix, AZ 85042-4518 | 2020-10-27 |
1487254629 | Bernadette Bruha | Counselor | 10028 W Redbird Rd, Peoria, AZ 85383-3368 | 2020-10-27 |
1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
1801496054 | Ryse Therapeutic Counseling LLC | Counselor | 461 W Holmes Ave Unit 181, Mesa, AZ 85210-5181 | 2020-10-27 |
1215537709 | Kendra Nicole Rosenfeld | Counselor | 10218 N 60th Ln, Glendale, AZ 85302-1256 | 2020-10-26 |
1851990311 | Makenzie Lynn Middleton | Counselor | 8310 E Mcdonald Dr # 7103, Scottsdale, AZ 85250-6277 | 2020-10-25 |
1184223620 | Jennifer L Salazar | Counselor | 7730 E Greenway Rd, Scottsdale, AZ 85260-1786 | 2020-10-24 |
1225636319 | Stride Forward Counseling LLC | Counselor | 6566 S Oakwood Way, Gilbert, AZ 85298-4068 | 2020-10-12 |
Find all providers with the same taxonomy |
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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.