KELLY CHRISTINE GLIDEWELL


Address: 1200 E Columbia Ave, Colville, WA 99114-3354
Phone: 5096843701

KELLY CHRISTINE GLIDEWELL (NPI# 1821444704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821444704
Entity Type Individual
Full Name KELLY CHRISTINE GLIDEWELL
Credential ARNP STUDENT
Practice Address 1200 E Columbia Ave
Colville
WA 99114-3354
Mailing Address Po Box 421
Liberty Lake
WA 99019-0421
Practice Telephone 5096843701
Practice Fax Number 5096845817
Mailing Telephone (866) 747-2455
Enumeration Date 2016-05-10
Last Update Date 2017-09-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner AP60766260 WA Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
AP60766260 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1200 E COLUMBIA AVE
City COLVILLE
State WA
Zip Code 99114-3354

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952301483 Richard C. Lee Pharmacist 1200 E Columbia Ave, Colville, WA 99114-3354 2005-07-27
1346856986 Cheryl Swanson Nelson Social Worker 1200 E Columbia Ave, Colville, WA 99114-3354 2020-09-18
1962064683 Gregory Ian Collin Registered Nurse 1200 E Columbia Ave, Colville, WA 99114 2019-07-02
1235605213 Brianna L Wing Physician Assistant 1200 E Columbia Ave, Colville, WA 99114-3354 2018-10-17
1528445368 Kristin Michelle Comstock Family Medicine 1200 E Columbia Ave, Colville, WA 99114-3354 2015-04-30
1851778070 Jill M Neiman Family Medicine 1200 E Columbia Ave, Colville, WA 99114-3354 2015-04-27
1568874733 Katrina Marie Maher Family Medicine 1200 E Columbia Ave, Colville, WA 99114 2014-05-22
1649607631 Richard Jason Cardenas Physician Assistant 1200 E Columbia Ave, Colville, WA 99114-3354 2013-10-04
1902242365 Joseph Cwik Family Medicine 1200 E Columbia Ave, Colville, WA 99114-3354 2013-05-13
1801232301 Maureen Beardslee Family Medicine 1200 E Columbia Ave, Colville, WA 99114-3354 2013-05-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033774799 Salamia Mikheyeva Massage Therapist 697 Gillette Rd., Colville, WA 99114 2019-05-07
1053897694 Rochelle Diconti Counselor 358 E Birch Ave Ste 101, Colville, WA 99114 2018-07-17
1679073928 Laurel Shull Massage Therapist 298 S. Main St., Suite 208, Colville, WA 99114 2018-02-13
1235638123 Taylor Vanwicklen Nurse's Aide 165 E. Hawthorne Ave, Colville, WA 99114 2018-02-06
1932608833 Sandra Ingram Registered Nurse 165 E. Hawthorne Avenue, Colville, WA 99114 2018-02-06
1831451350 Catherine M Lochner Occupational Therapist 1366 Onion Creek Rd., Colville, WA 99114 2012-06-11
1245552215 Georgia Rae Goot Hearing Instrument Specialist 519 S. Main St., Colville, WA 99114 2010-02-18
1801018619 David W King Counselor 165 E Hawthorne Avenue, Colville, WA 99114 2007-05-02
1497976484 Jack Darrell Esvelt Dentist 181 E 1st, Colville, WA 99114 2007-05-01
1730229709 Carol H Leach Registered Nurse 982 E Columbia Ave Ste 201, Colville, WA 99114 2007-02-07
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962551572 Teresa Louise Zilka Nurse Practitioner 143 Garden Homes Dr, Colville, WA 99114-9229 2007-01-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417555871 Katy Jane Kovari Nurse Practitioner 2118 N Ruby St, Spokane, WA 99207-5043 2020-10-16
1407454986 Moore Healthcare Pllc Nurse Practitioner 1563 Hemlock Dr, Oak Harbor, WA 98277-3404 2020-10-15
1184222820 Sidni Brianna Shoemaker Nurse Practitioner 4512 N Bessie Ln, Spokane, WA 99212-1793 2020-10-14
1073111902 Hailey Marie Baker Nurse Practitioner 3055 112th Ave Ne Ste 201, Bellevue, WA 98004-2091 2020-10-13
1770180689 Elizabeth Hague Nurse Practitioner 3690 London Loop Ne, Lacey, WA 98516-6401 2020-10-04
1629675699 Jesse Ballard Nurse Practitioner 1410 N Samantha Rd, Liberty Lake, WA 99019-8626 2020-10-02
1316551286 Jamie Joelle Finnerty Nurse Practitioner 910 W 5th Avenue, Suite #1000, Spokane, WA 99204-2902 2020-09-08
1629681523 Sound Healthworks LLC Nurse Practitioner 28807 Redondo Shores Dr S, Des Moines, WA 98198-8243 2020-08-28
1306458328 Geneva Paula Hoskins-dorsey Nurse Practitioner 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 2020-08-20
1689285017 Carmen Snypp Nurse Practitioner 3331 W Holyoke Ave, Spokane, WA 99208-4672 2020-08-10
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Competitor

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City COLVILLE
Zip Code 99114

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Dataset Information

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.

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