MELISSA GLASS (NPI# 1750833356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750833356 |
| Entity Type | Individual |
| Full Name | MELISSA GLASS |
| Credential | APN |
| Practice Address |
12528 Sr 78 Havana IL 62644-6866 |
| Practice Telephone | 3095434253 |
| Enumeration Date | 2016-10-29 |
| Last Update Date | 2016-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
209.015048 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283960 | Melissa R. Glass | Occupational Therapist | 70 Pinelawn Road, Huntington Terrace, NY 11747-3125 | 2020-10-20 |
| 1700134954 | Melissa Meira Glass | Dentist | 480 W 187th St, #6d, New York, NY 10033-1501 | 2012-08-20 |
| 1477576338 | Melissa Kehaulani Inouye Glass | Physical Therapist | 2322 Powell Street, Emeryville Sports Physical Therapy, Emeryville, CA 94608-1963 | 2006-07-25 |
| 1548821242 | Melissa Glass | Counselor | 3563 S State Road 13, Wabash, IN 46992-9162 | 2019-06-24 |
| 1043879620 | Melissa Glass | Student in an Organized Health Care Education/Training Program | 3095 Richmond Pkwy Ste 201, Richmond, CA 94806-5878 | 2019-06-07 |
| 1649728387 | Melissa Glass | Counselor | 158 S Anderson St, Suite 1, Rhinelander, WI 54501-3447 | 2016-09-12 |
| 1598110736 | Melissa Ann Glass | Physical Therapist | 25 Monument Rd, Suite 290, York, PA 17403-5060 | 2016-04-25 |
| 1194159194 | Melissa Glass | Occupational Therapist | 5620 Smith Station Rd, Fredericksburg, VA 22407-9311 | 2013-08-26 |
| 1083913651 | Melissa Glass | Occupational Therapist | 323 Industrial Park, Liberty, MS 39645-8069 | 2011-03-22 |
| 1346286069 | Melissa A Glass | Nurse Practitioner | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2006-06-21 |
| Street Address |
12528 SR 78 |
| City | HAVANA |
| State | IL |
| Zip Code | 62644-6866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073629374 | Stuart Hickerson | Emergency Medicine | 12528 Sr 78, Havana, IL 62644-6866 | 2006-08-21 |
| 1174902696 | Ashley Marmon | Nurse Practitioner | 12528 Sr 78, Havana, IL 62644-6866 | 2015-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982771218 | Mason County Health Department | Clinic/Center | 1002 East Laurel Avenue, Havana, IL 62644 | 2006-11-30 |
| 1346206315 | Havana Hco, LLC | Skilled Nursing Facility | 609 N Harpham St, Havana, IL 62644 | 2006-04-26 |
| 1902849649 | Mason Hospital District | General Acute Care Hospital | 615 N Promenade St, Havana, IL 62644-1015 | 2006-06-13 |
| 1356307433 | Bruce Schultz | Family Medicine | 615 N Promenade St, Havana, IL 62644-1015 | 2006-04-26 |
| 1245296979 | Tad A Yetter | Internal Medicine | 615 N Promenade St, Havana, IL 62644-1015 | 2006-04-21 |
| 1427561489 | Brandi Nicole Behymer | Nurse's Aide | 320 N Plum St, Havana, IL 62644-1127 | 2017-11-13 |
| 1225032071 | R & Q Corporation | Pharmacy | 201 W Main St, Havana, IL 62644-1137 | 2005-06-09 |
| 1639655616 | Home Dialysis Therapies, Inc | Clinic/Center | 216 W Main St, Havana, IL 62644-1138 | 2018-07-12 |
| 1750382990 | Anthony Dale Roberts | Chiropractor | 303 W Main St, Havana, IL 62644-1139 | 2005-08-10 |
| 1962816868 | John Stinauer | Dentist | 312 W Main St, Havana, IL 62644-1140 | 2014-06-18 |
| Find all providers in zip 62644 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942668355 | Joannne Geralyn Delany | Clinical Nurse Specialist | 13133 Meadowview Ln, Homer Glen, IL 60491-9155 | 2016-02-01 |
| 1033559802 | Shannon L Laesch | Clinical Nurse Specialist | 2005 Jacobssen Dr Ste A, Normal, IL 61761-6288 | 2013-06-26 |
| 1427323898 | Kara Michelle Aalfs | Clinical Nurse Specialist | 6n910 Gilmore Dr, Saint Charles, IL 60175-8314 | 2012-03-18 |
| 1528351962 | Kristi Kae Williams | Clinical Nurse Specialist | 530 Ne Glenoak Avenue Pob Suite 108, Peoria, IL 61603-3117 | 2011-05-18 |
| 1427356336 | Lissa J Diefendorf | Clinical Nurse Specialist | 403 W Corrington Ave, Peoria, IL 61604-2803 | 2011-03-02 |
| 1326354358 | Sheila A Harmon | Clinical Nurse Specialist | 654 East 47th St, Access Booker Family Health Center, Chicago, IL 60653-4224 | 2010-08-27 |
| 1689283723 | Michelle Marie Lovsey | Clinical Nurse Specialist | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2020-07-24 |
| 1053942318 | Mary Sue Dailey | Clinical Nurse Specialist | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2020-01-27 |
| 1316448947 | Cheryl A Pahl | Clinical Nurse Specialist | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2018-02-28 |
| 1144728155 | Euphemia M Connell | Clinical Nurse Specialist | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2018-01-24 |
| 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.