SHELLY L P GLASCOCK


Address: 248 Mchenry St, Burlington, WI 53105-1828
Phone: 2627678243

SHELLY L P GLASCOCK (NPI# 1598310468) 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) 1598310468
Entity Type Individual
Full Name SHELLY L P GLASCOCK
Credential NP
Practice Address 248 Mchenry St
Burlington
WI 53105-1828
Practice Telephone 2627678243
Mailing Telephone 2627678000
Enumeration Date 2019-08-07
Last Update Date 2019-10-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 9150-33 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 100093501 05

Office Location

Street Address 248 MCHENRY ST
City BURLINGTON
State WI
Zip Code 53105-1828

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295731529 Carol Ann Seitz Registered Nurse 248 Mchenry St, Burlington, WI 53105-1828 2005-06-22
1649740614 Kirby Curby-warner Midwife 248 Mchenry St, Burlington, WI 53105-1828 2018-12-03
1487150629 Michael Mesirow Physician Assistant 248 Mchenry St, Burlington, WI 53105 2018-04-05
1588181523 Leroy Spurlock Physician Assistant 248 Mchenry St, Burlington, WI 53105-1828 2017-08-29
1447791363 Desiree A Mengo Nurse Practitioner 248 Mchenry St, Burlington, WI 53105 2017-03-10
1184075053 Corina E Beck Nurse Practitioner 248 Mchenry St, Burlington, WI 53105-1828 2016-06-22
1528492469 Kristina J Krogstad Nurse Practitioner 248 Mchenry St, Burlington, WI 53105-1828 2013-08-28
1952666554 Kora Lane Adam Physician Assistant 248 Mchenry St, Burlington, WI 53105-1828 2012-07-10
1831452226 Danielle D Storm Physician Assistant 248 Mchenry St, Burlington, WI 53105-1828 2012-06-20
1689930612 Robert L Richmond Internal Medicine 248 Mchenry St, Burlington, WI 53105-1828 2012-04-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720574288 Wisconsin Pain Management Specialists, LLC Pain Medicine 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 2018-07-09
1952845679 Jennifer Vozel Registered Nurse 40036 Bloomfield Rd, Burlington, WI 53105 2016-12-14
1356884613 Labadie Family Dentistry, S.c. Clinic/Center 5019 Mormon Rd., Burlington, WI 53105 2016-11-18
1043654288 Maureen Ann Mcnulty Acupuncturist 148 East State Street, Suite A, Burlington, WI 53105 2013-04-18
1003166349 Jessica Robinson Licensed Practical Nurse 7656 Highland Ave, Burlington, WI 53105 2012-09-13
1063677334 Douglas Armin Wild Sr. Dentist 2545 Partridge Wds. Ct., Burlington, WI 53105 2008-07-25
1346408945 William Henry Basil Dentist 222 Adams St, Burlington, WI 53105 2008-05-30
1912108689 Debra Jean Studey Leffelman Midwife, Lay 5617 Spring Valley Rd., Burlington, WI 53105 2007-05-30
1215142955 Michelle Marie Mehring Licensed Practical Nurse 541 Kearney Rd, Burlington, WI 53105 2007-05-14
1003982802 Alan Dean Meike Chiropractor 196 W Chestnut Street, Burlington, WI 53105 2006-11-27
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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
1629608328 Tk Health LLC Nurse Practitioner 460 Veterans Dr Ste C, Burlington, NJ 08016-1259 2020-01-22
1497163034 Kelly Elizabeth Bishop Nurse Practitioner 1838 Florence Pike Ste B, Burlington, KY 41005-1838 2014-07-28
1124256649 Stephanie Harris Nurse Practitioner 2344 South Church Street, Burlington, NC 27215 2009-06-23
1447212378 Kelly H Tate Nurse Practitioner 199 E.b. Tate Road, Burlington, NC 27217 2006-04-05
1790750354 Cara J. Foss Nurse Practitioner Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 2006-02-17
1568455350 Julie L Jones Nurse Practitioner Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 2005-08-26
1477191823 Kathleen Rebecca Feighery Nurse Practitioner 6105 1st Financial Dr, Burlington, KY 41005-7892 2019-12-17
1144876863 Emily Scribner Nurse Practitioner 1 S Prospect St, Burlington, VT 05401-3456 2019-08-19
1639725484 Latoya Rivers Nurse Practitioner 914 Chapel Hill Rd, Burlington, NC 27215-6715 2019-08-16
1942864517 Fallon Eileen Brown Nurse Practitioner 2977 Crouse Ln, Burlington, NC 27215-9480 2019-04-29
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Competitor

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City BURLINGTON
Zip Code 53105

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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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